2025 CPT code 54408
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Male Genital System Surgery Feed
Repair of component(s) of a multi-component, inflatable penile prosthesis.
Modifiers may be applicable depending on the specific circumstances of the procedure (e.g., 51 for multiple procedures, 22 for increased procedural service).Refer to the CPT manual and payer guidelines for specific modifier applications.
Repair of a malfunctioning penile prosthesis is medically necessary when it compromises the patient's sexual function and quality of life, and when the repair offers a reasonable chance of restoring functionality. Documentation supporting medical necessity should include evidence of the malfunction, failed attempts at conservative management (if any), and the expected improvement from the repair.
The clinical responsibility lies with a urologist or surgeon experienced in penile prosthesis surgery.This involves pre-operative assessment, surgical repair of the prosthesis components, post-operative care, and management of potential complications.
In simple words: The doctor repairs a broken part of an artificial device used to help men get an erection. This device was previously implanted in the penis and the repair may involve different parts of the device, such as the cylinders, the reservoir, or the pump.
This CPT code describes the surgical repair of one or more components of a previously implanted multi-component inflatable penile prosthesis.The repair may involve the cylinders within the corpora cavernosa, the reservoir in the pubic bone area, and/or the pump in the scrotum. The procedure includes the necessary incisions, repair of the damaged prosthesis components, closure of tissues with sutures, and removal of any indwelling catheter if present.The code is reported only once, regardless of the number of components repaired.
Example 1: A 60-year-old male patient with a previously implanted three-piece inflatable penile prosthesis presents with a malfunctioning pump. The surgeon performs a repair of the scrotal pump., A 55-year-old male patient experiences a leak in one of the inflatable cylinders of his penile prosthesis. The surgeon performs a repair of the cylinder within the corpora cavernosa., A 70-year-old male patient presents with a ruptured reservoir of his inflatable penile prosthesis. The surgeon repairs the reservoir located in the pubic bone area.
* Thorough history and physical examination.* Preoperative assessment of penile prosthesis function.* Detailed operative report specifying the components repaired.* Postoperative assessment of prosthesis function.* Pathology report (if applicable).* Images (if applicable).
** This code encompasses the repair of any component of the multi-component inflatable penile prosthesis.If multiple components are repaired, only one code is reported.The selection of appropriate modifiers should be guided by current payer guidelines and CPT coding conventions.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information is not available in the provided source.Refer to the most current Medicare Physician Fee Schedule or other relevant payer's fee schedule for RVU data.
- Global Days : The global period for this procedure is not specified in the provided source.Consult the appropriate payer's guidelines for determination of the global period.
- Payment Status: Active
- Modifier TC rule: The application of a Technical Component (TC) modifier is unlikely for this code, as it describes a complete surgical repair.
- Fee Schedule : Historical fee schedule data is not available in the provided source.Consult relevant payer fee schedules for historical reimbursement information.
- Specialties:Urology, Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center