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Urology Coding Alert

Reader Question:
Penile Implant Replacement Falls Under 54410 Even for a Different Type

Question: A patient had three previous two-piece inflatable penile implants; each one had a malfunction in one of the cylinders. This time he opted to replace it with the three-piece implant. Is it better to code the removal with 54415 and the insertion with 54405? The insurer authorized 54410, but I thought that code was for taking out and replacing the [...]

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