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Urology Coding Alert

Reader Question:

54115: Ensure Deep Tissue FBR Before Coding

Question: Would removal of a penile-scrotal ring that was not inside the penis be billed as CPT 54115 ?Oregon SubscriberAnswer: You should not use 54115 (Removal foreign body from deep penile tissue [eg, plastic implant]) in this case. 54115 is for a deep foreign body removal but not for an external ring as in this case.Better bet: There is no specific CPT® code for this type of problem. As there are many clinical scenarios that represent a foreign body involving the external genitalia, consider 55899 (Unlisted procedure, male genital system) in these clinical situations.Remember: You may need to submit a detailed operative report and a covering explanatory letter to your payer to achieve reimbursement.


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