Jeanne Posted Tue 02nd of September, 2014 19:43:48 PM
our urologist inserts an inflatable multicomponent penile prosthesis and does penile modeling for peyronies plaque. I know the IPP is 54405 but is the modeling of peyronies plaque codeable?
SuperCoder Answered Wed 03rd of September, 2014 10:19:17 AM
Thank you for your question.
The modeling procedure would be included in the procedure of the prosthesis insertion. There is not a CPT code for a separately billable service. I have also included the Clinical Responsibility information for code 54405.
A transverse incision is made on the pubic area above the penis. Alternatively, an incision can also be made vertically at the underside of the penis, between the penis and scrotum. The spongy tissues of the penis are partially removed and the dilators are used for insertion of prosthesis. During insertion of prosthesis, cares should be taken to preserve important nerves and blood vessels. The inflatable penile prosthesis consists of a) penile cylinders, b) reservoir, and c) a pump. The inflatable cylinders are secured into the shaft of the penis inside the spongy tissues (corpora cavernosa). The reservoir is implanted behind the pubic bone and the pump, with inflation–deflation mechanism, is placed in the scrotum. The reservoir is filled with sterile saline. The components are connected by tubing. After completion of insertion of the prosthesis, tissues and incision is closed by suturing. A recipient can control the pump. Once inflated, the fluid from reservoir moves into the cylinders to give stiff erection to the penis and when deflated the fluid moves back into reservoir and thus rendering the penis the natural flaccid stage.