Cherie Posted Fri 29th of May, 2015 13:14:54 PM
The Dr. created a Tutoplast wind sock using Tutoplast pericardium which was used over the tip of the left cylinder of the penile prosthesis. I am stumped as to what CPT I would need. Please advise. Thanks
SuperCoder Answered Mon 01st of June, 2015 03:28:21 AM
We did not find any appropriate CPT code for tutoplast pericardium used as tutoplast wind sock over the tip of the left cylinder of the penile prosthesis. The most near by code that we can relate to is CPT code 54408 which is for repair of component(s) of a multi-component, inflatable penile prosthesis.
Kindly let us know the other procedures performed along with the dx codes billed to help you decide with a more appropriate CPT code.
Cherie Posted Thu 11th of June, 2015 06:51:34 AM
The procedure was Revision of penile prosthesis with dx of erectile dysfunction with indwelling penile prosthesis with mechanical failure
SuperCoder Answered Fri 12th of June, 2015 08:40:21 AM
54408 is the most appropriate code that fits this scenario.
Cherie Posted Tue 16th of June, 2015 13:24:53 PM
They did end up replacing the prosthesis, do I still code 54408? Please advise. Thank you
SuperCoder Answered Wed 17th of June, 2015 01:21:58 AM
If the prosthesis was replaced finally and not repaired, then there are different set of codes for removal and replacement of prosthesis.
You can code 54410 for removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session.
You can code 54416 for removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session.