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2025 CPT code 54060

Surgical excision of a penile lesion (e.g., condyloma, papilloma, molluscum contagiosum, herpetic vesicle).

Follow standard CPT coding guidelines for surgical procedures.Accurate documentation is crucial for proper coding and reimbursement.

Modifiers may apply depending on the circumstances of the procedure (e.g., 22 for increased procedural services, 51 for multiple procedures, 59 for distinct procedural service).

Medical necessity is established by the presence of a symptomatic or cosmetically concerning penile lesion requiring removal.The documentation must support the clinical indication for the procedure.

The physician identifies and marks the penile lesion, makes an elliptical incision, excises the lesion and surrounding tissue, controls bleeding, and closes the incision with sutures. Preoperative preparation, draping, and anesthesia administration are also part of the clinical responsibility.

IMPORTANT If chemicals are used, report 54050; if electrodesiccation is used, report 54055; if cryosurgery is used, report 54056; if laser surgery is used, report 54057; if lesions are extensive and multiple techniques are used, report 54065.

In simple words: The doctor surgically removes a wart or growth on the penis. This is done to get rid of the growth and relieve any pain.

This procedure involves the surgical removal of a skin lesion on the penis, such as condyloma, papilloma, molluscum contagiosum, or herpetic vesicle.The lesion is identified, an elliptical incision is made around it extending to the base, the tissue containing the lesion and surrounding margins is excised, bleeding is controlled, and the incision is closed with absorbable sutures. Local anesthesia is typically used.

Example 1: A 30-year-old male presents with a single, small condyloma on his penis. The physician performs a simple excision under local anesthesia., A 45-year-old male presents with multiple, larger penile papillomas. The physician performs surgical excision of the lesions, requiring multiple sutures for closure., A 25-year-old male presents with a suspicious lesion on his penis. An excisional biopsy is performed, and the tissue is sent to pathology for further evaluation.

Preoperative diagnosis, lesion size and location, surgical technique, tissue excised (including whether a biopsy was performed), amount of bleeding, closure method, postoperative instructions, and pathology results (if biopsy performed).

** This code is used for simple excisions of penile lesions. More complex procedures or those involving other techniques may require different codes.

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