How To Use CPT Code 54112

CPT 54112 describes the excision of penile plaque (Peyronie disease) with a graft greater than 5 cm in length. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 54112?

CPT 54112 can be used to describe the surgical procedure performed to remove plaque or abnormal fibrous tissues in the penis and replace it with a skin graft that is greater than 5 cm in length. This procedure is typically done to correct Peyronie’s disease, a condition characterized by severe penile curves, pain during erection, and the presence of a lump in the shaft of the penis.

2. Official Description

The official description of CPT code 54112 is: ‘Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length.’

3. Procedure

1. The provider prepares the patient for the procedure and administers anesthesia.
2. An incision is made around the penis, and the skin is retracted to expose the plaque.
3. The provider carefully excises the plaque or abnormal fibrous tissues underlying the corpus cavernosum region of the penis.
4. During the dissection, the provider ensures the preservation of important nerves and small blood vessels.
5. A suitable skin or tissue graft measuring more than 5 cm is obtained from another part of the patient’s body.
6. The graft is placed on the penis to fill in the defect created by the excision of the plaque.
7. The provider closes the skin incision to complete the procedure.

4. Qualifying circumstances

CPT 54112 is performed on patients with Peyronie’s disease, a condition characterized by the presence of plaque or hard lumps on the penis. The procedure is indicated when the patient experiences severe penile curves, pain during erection, and shortening of the penis. The patient must meet the criteria for the excision of penile plaque and the use of a graft greater than 5 cm in length.

5. When to use CPT code 54112

CPT code 54112 should be used when the excision of penile plaque is performed with a graft greater than 5 cm in length. It is appropriate for cases of Peyronie’s disease that meet the qualifying circumstances mentioned above. This code should not be used for other penile procedures or conditions.

6. Documentation requirements

To support a claim for CPT 54112, the provider must document the following information:

• Patient’s diagnosis of Peyronie’s disease
• Details of the excision procedure, including the size and location of the plaque
• Description of the graft used, including its length and source
• Date of the procedure
• Any complications or additional procedures performed
• Signature of the provider

7. Billing guidelines

When billing for CPT 54112, ensure that the excision of penile plaque is performed with a graft greater than 5 cm in length. It is important to accurately document the procedure and meet the qualifying circumstances. There are no specific guidelines regarding reporting CPT 54112 with other codes. However, if additional procedures or services are performed during the same encounter, they should be appropriately documented and reported separately.

8. Historical information

CPT 54112 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 patient with Peyronie’s disease undergoes an excision of penile plaque with a graft greater than 5 cm in length to correct severe penile curves and pain during erection.
2. During a surgical procedure, a provider removes plaque from the penis and replaces it with a skin graft measuring more than 5 cm in length to treat Peyronie’s disease.
3. A patient with Peyronie’s disease undergoes a surgical procedure to excise plaque and receives a graft greater than 5 cm in length to address penile curvature and pain during erection.
4. A provider performs an excision of penile plaque with a graft measuring more than 5 cm in length to correct the penile deformity and pain associated with Peyronie’s disease.
5. During a surgical intervention, a provider removes plaque from the penis and replaces it with a graft greater than 5 cm in length to alleviate the symptoms of Peyronie’s disease.
6. A patient with Peyronie’s disease undergoes an excision of penile plaque with a graft greater than 5 cm in length to improve penile curvature and pain during erection.
7. During a surgical procedure, a provider removes plaque from the penis and replaces it with a skin graft measuring more than 5 cm in length to treat the symptoms of Peyronie’s disease.
8. A patient with Peyronie’s disease undergoes a surgical procedure to excise plaque and receives a graft greater than 5 cm in length to address penile curvature and pain during erection.
9. A provider performs an excision of penile plaque with a graft measuring more than 5 cm in length to correct the penile deformity and pain associated with Peyronie’s disease.
10. During a surgical intervention, a provider removes plaque from the penis and replaces it with a graft greater than 5 cm in length to alleviate the symptoms of Peyronie’s disease.