How To Use CPT Code 54352

CPT 54352 describes the revision of a prior hypospadias repair that requires extensive dissection and excision of previously constructed structures, including re-release of chordee and reconstruction of the urethra and penis using local skin grafts and island flaps. 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 54352?

CPT 54352 is used to describe the revision of a previous hypospadias repair that involves extensive dissection and excision of previously constructed structures. This procedure may include re-releasing chordee, which is an abnormal curvature of the penis, and reconstructing the urethra and penis using local skin grafts and island flaps. It is important to note that CPT 54352 should not be reported in conjunction with certain other codes, as specified in the notes.

2. Official Description

The official description of CPT code 54352 is: ‘Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of local skin as grafts and island flaps and skin brought in as flaps or grafts.’

3. Procedure

1. The provider begins by revising repairs from a previous hypospadias surgery.
2. Extensive dissection is performed, and previously constructed structures, such as the urethra, are excised.
3. The provider re-releases chordee, which involves correcting the abnormal curvature of the penis.
4. The urethra and penis are reconstructed using local skin grafts and island flaps.
5. Additional skin may be brought in as flaps or grafts to complete the reconstruction.
6. The provider ensures any bleeding is controlled and completes the procedure.

4. Qualifying circumstances

CPT 54352 is performed on patients who have previously undergone hypospadias repair and require extensive revision. This procedure is necessary when there are complications or failures from previous surgeries. The provider must perform dissection and excision of previously constructed structures, re-release chordee, and reconstruct the urethra and penis using local skin grafts and island flaps. It is important to note that CPT 54352 should not be reported with certain other codes, as specified in the notes.

5. When to use CPT code 54352

CPT code 54352 should be used when a patient requires a revision of a prior hypospadias repair that involves extensive dissection and excision of previously constructed structures. This code is appropriate when the provider needs to re-release chordee and reconstruct the urethra and penis using local skin grafts and island flaps. It is important to review the notes to ensure accurate coding and avoid reporting CPT 54352 with incompatible codes.

6. Documentation requirements

To support a claim for CPT 54352, the provider must document the following information:

• Patient’s history of prior hypospadias repair
• Details of the extensive dissection and excision performed
• Description of the re-release of chordee
• Documentation of the reconstruction of the urethra and penis using local skin grafts and island flaps
• Any additional skin brought in as flaps or grafts
• Control of bleeding and completion of the procedure

7. Billing guidelines

When billing for CPT 54352, ensure that the procedure meets the criteria for revision of a prior hypospadias repair requiring extensive dissection and excision of previously constructed structures. It is important to review the notes and avoid reporting CPT 54352 with incompatible codes. Pay attention to any specific billing guidelines provided by payers to ensure accurate reimbursement.

8. Historical information

CPT 54352 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 who previously underwent hypospadias repair presents with complications, including chordee and urethral stricture. The provider performs extensive dissection, excision of previously constructed structures, re-releases chordee, and reconstructs the urethra and penis using local skin grafts and island flaps.
2. A patient with a history of failed hypospadias repairs requires revision surgery. The provider performs dissection, excision, re-releases chordee, and reconstructs the urethra and penis using local skin grafts and island flaps.
3. A patient presents with recurrent hypospadias after previous repair surgeries. The provider performs extensive dissection, excision, re-releases chordee, and reconstructs the urethra and penis using local skin grafts and island flaps.
4. A patient with complications from a previous hypospadias repair requires revision surgery. The provider performs dissection, excision, re-releases chordee, and reconstructs the urethra and penis using local skin grafts and island flaps.
5. A patient who underwent multiple unsuccessful hypospadias repairs presents for revision surgery. The provider performs extensive dissection, excision, re-releases chordee, and reconstructs the urethra and penis using local skin grafts and island flaps.
6. A patient with a history of hypospadias repair experiences complications and requires revision surgery. The provider performs dissection, excision, re-releases chordee, and reconstructs the urethra and penis using local skin grafts and island flaps.