How To Use CPT Code 54060

CPT 54060 describes the surgical excision of a lesion on the penis, such as condyloma, papilloma, molluscum contagiosum, or herpetic vesicle. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 54060?

CPT 54060 is used to describe the surgical excision of a lesion on the penis. This code is specifically used when the provider removes a skin lesion, such as condyloma, papilloma, molluscum contagiosum, or herpetic vesicle, from the penis. The purpose of this procedure is to eradicate the lesion and relieve any associated pain.

2. Official Description

The official description of CPT code 54060 is: ‘Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision.’

3. Procedure

1. The provider begins by appropriately prepping, draping, and anesthetizing the patient, typically using local anesthesia.
2. Once the patient is prepared, the provider identifies and marks the lesion on the penis.
3. An elliptical incision is made around the marked area, and the incision is extended to the base of the lesion.
4. The provider then grasps and elongates the skin containing the lesion and excises the tissue containing the lesion along with surrounding margins.
5. After removing the lesion, the provider controls any bleeding and closes the incision using running absorbable sutures.

4. Qualifying circumstances

CPT 54060 is used when the provider surgically excises a lesion on the penis. This procedure is typically performed on patients with conditions such as condyloma, papilloma, molluscum contagiosum, or herpetic vesicle. The purpose of the excision is to remove the lesion and alleviate any associated pain.

5. When to use CPT code 54060

CPT code 54060 should be used when the provider performs a surgical excision of a lesion on the penis. This code is specifically for simple lesions and should not be used for procedures involving the use of chemicals, electrodesiccation, cryosurgery, or laser surgery. If the lesions are extensive and require various techniques, a different code, such as 54065, should be used.

6. Documentation requirements

To support a claim for CPT 54060, the provider must document the following information:

• Patient’s diagnosis and the need for surgical excision of the lesion
• Details of the procedure, including the use of local anesthesia
• Location and size of the lesion
• Incision technique used
• Control of bleeding
• Closure method, such as running absorbable sutures

7. Billing guidelines

When billing for CPT 54060, ensure that the procedure performed is a surgical excision of a lesion on the penis. This code should not be reported if other techniques, such as the use of chemicals, electrodesiccation, cryosurgery, or laser surgery, are used. It is important to select the appropriate code based on the specific procedure performed.

8. Historical information

CPT 54060 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A provider surgically excises a condyloma on the penis of a patient.
2. A patient presents with a papilloma on the penis, and the provider performs a surgical excision of the lesion.
3. A molluscum contagiosum is identified on the penis of a patient, and the provider surgically removes the lesion.
4. A patient with a herpetic vesicle on the penis undergoes a surgical excision of the lesion performed by the provider.
5. A provider performs a surgical excision of a lesion on the penis, which is diagnosed as a condyloma.
6. A papilloma on the penis of a patient is surgically excised by the provider.
7. The provider performs a surgical excision of a molluscum contagiosum on the penis of a patient.
8. A patient with a herpetic vesicle on the penis undergoes a surgical excision of the lesion performed by the provider.
9. A provider surgically removes a condyloma on the penis of a patient.
10. A papilloma on the penis of a patient is surgically excised by the provider.