How To Use CPT Code 54417

CPT 54417 describes the removal and replacement of a non-inflatable or inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue. 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 54417?

CPT 54417 can be used to describe the surgical procedure in which a previously placed non-inflatable or inflatable penile prosthesis is removed and replaced through an infected field at the same operative session. This code includes the irrigation and debridement of infected tissue at the site.

2. Official Description

The official description of CPT code 54417 is: ‘Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue.’

3. Procedure

1. The provider prepares the patient for the procedure, ensuring appropriate prepping and anesthesia.
2. An incision is made in the pubic bone area or at the underside of the penis to access the previously placed penile prosthesis.
3. The provider incises the corpus cavernosum and dissects the infected tissues from that area.
4. The one-piece semi-rigid prosthesis is removed from the corporal body.
5. A new prosthesis is advanced to the mid glans and positioned at the shaft.
6. The provider irrigates and debrides any infected tissues using an antibiotic solution.
7. The corporotomy is closed with sutures, followed by suturing the tissues in layers and closing the incision.

4. Qualifying circumstances

CPT 54417 is performed when a previously placed non-inflatable or inflatable penile prosthesis needs to be removed and replaced due to infection. The procedure includes the irrigation and debridement of infected tissue. It is important to note that CPT codes 11042 and 11043 should not be reported in addition to 54417.

5. When to use CPT code 54417

CPT code 54417 should be used when a provider performs the removal and replacement of a non-inflatable or inflatable penile prosthesis through an infected field at the same operative session. This code should not be used for procedures involving the removal and replacement of a different type of prosthesis, as the coding should be based on the type of prosthesis inserted.

6. Documentation requirements

To support a claim for CPT 54417, the provider must document the following information:

• Patient’s diagnosis and the need for removal and replacement of the penile prosthesis
• Details of the procedure, including the type of prosthesis removed and inserted
• Description of the infected field and the irrigation and debridement performed
• Date and duration of the operative session
• Any complications or additional procedures performed
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 54417, ensure that the procedure meets the criteria for this code, including the removal and replacement of a non-inflatable or inflatable penile prosthesis through an infected field at the same operative session. It is important to note that CPT codes 11042 and 11043 should not be reported in addition to 54417. Follow the appropriate coding guidelines and modifiers for accurate billing.

8. Historical information

CPT 54417 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 patient with an infected non-inflatable penile prosthesis undergoes a surgical procedure to remove and replace the prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue.
2. A patient with an infected inflatable penile prosthesis requires a surgical procedure to remove and replace the prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue.
3. A provider performs the removal and replacement of a non-inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue, for a patient with recurrent infections.
4. A patient with an infected inflatable penile prosthesis undergoes a surgical procedure to remove and replace the prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue, to address the infection and restore functionality.
5. A provider performs the removal and replacement of a non-inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue, for a patient with complications from the previous prosthesis.
6. A patient with an infected inflatable penile prosthesis requires a surgical procedure to remove and replace the prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue, to address the infection and improve quality of life.
7. A provider performs the removal and replacement of a non-inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue, for a patient with a history of recurrent infections and discomfort.
8. A patient with an infected inflatable penile prosthesis undergoes a surgical procedure to remove and replace the prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue, to address the infection and restore sexual function.