How To Use CPT Code 54408

CPT 54408 describes the repair of component(s) of a multi-component, inflatable penile prosthesis. 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 54408?

CPT 54408 can be used to describe the repair of component(s) of a multi-component, inflatable penile prosthesis. This code is used when a provider repairs the previously placed inflatable synthetic material for the penile prosthesis in the penis of a patient. The repair may involve the cylinders in the corpora cavernosa, reservoir in the pubic bone area, and/or pump in the scrotum area.

2. Official Description

The official description of CPT code 54408 is: ‘Repair of component(s) of a multi-component, inflatable penile prosthesis.’

3. Procedure

1. The provider makes an incision over the same site where the insertion was previously done, typically near the pubic area or the underside of the penis.
2. The provider repairs the cylinders in the corpora cavernosa, reservoir in the pubic bone area, and/or pump in the scrotum area, depending on the location of the parts of the device.
3. The provider closes the tissues with sutures.
4. If an indwelling catheter was previously placed, the provider removes it.

4. Qualifying circumstances

Patients eligible to receive CPT 54408 services are those who have previously undergone the placement of a multi-component, inflatable penile prosthesis and require repair of the components. The repair may be necessary due to malfunction, damage, or other issues with the prosthesis. The procedure is typically performed under anesthesia, and the patient must be appropriately prepped for the repair.

5. When to use CPT code 54408

CPT code 54408 should be used when a provider performs the repair of component(s) of a multi-component, inflatable penile prosthesis. It is important to note that this code should only be reported once, regardless of the number of components repaired during the procedure.

6. Documentation requirements

To support a claim for CPT 54408, the provider must document the following information:

• Indication for the repair of the penile prosthesis components
• Details of the repair procedure, including the specific components repaired
• Date of the procedure
• Any additional procedures performed, such as the removal of an indwelling catheter
• Signature of the provider performing the repair

7. Billing guidelines

When billing for CPT 54408, ensure that the repair is performed on a multi-component, inflatable penile prosthesis. It is important to note that this code should not be reported with other codes for repair procedures on the penis (54300-54440). Additionally, it is recommended to review payer-specific guidelines and policies for accurate billing and reimbursement.

8. Historical information

CPT 54408 was added to the Current Procedural Terminology system on January 1, 2002. There have been no updates to the code since its addition.

9. Examples

1. A provider repairs the cylinders of a multi-component, inflatable penile prosthesis for a patient who experienced a malfunction.
2. A patient undergoes a repair procedure for the reservoir of their inflatable penile prosthesis due to damage.
3. A provider performs the repair of the pump in the scrotum area for a patient whose penile prosthesis was not functioning properly.
4. A patient requires the repair of multiple components, including the cylinders and reservoir, of their multi-component, inflatable penile prosthesis.
5. A provider repairs the pump of a patient’s penile prosthesis, which was causing discomfort and dysfunction.
6. A patient undergoes a repair procedure for the cylinders of their inflatable penile prosthesis to address a leak.
7. A provider performs the repair of the reservoir in the pubic bone area for a patient whose penile prosthesis was not inflating properly.
8. A patient requires the repair of both the cylinders and pump of their multi-component, inflatable penile prosthesis.
9. A provider repairs the pump in the scrotum area for a patient whose penile prosthesis was not deflating as intended.
10. A patient undergoes a repair procedure for the cylinders of their inflatable penile prosthesis to address a mechanical issue.