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The CPT® Code 54057 refers to the procedure of destruction of lesions on the penis, which may include various types of growths such as condyloma, papilloma, molluscum contagiosum, and herpetic vesicles. This procedure is categorized as a simple laser surgery, where the physician employs a laser technique to effectively eliminate one or more lesions. The choice of destruction method is determined after a thorough examination of the lesion, ensuring that the most suitable approach is utilized for treatment. Local anesthesia may be administered to minimize discomfort during the procedure. The laser ablation technique specifically involves the use of either a non-contact Nd-YAG laser or a contact laser probe that utilizes coaxial water to vaporize the targeted lesion. This method is part of a broader range of destruction techniques available for treating penile lesions, which also includes chemical destruction, electrodessication, cryosurgery, and surgical excision. Each technique has its own specific indications and procedural steps, but all aim to effectively manage and treat the lesions present on the penis.
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The procedure described by CPT® Code 54057 is indicated for the treatment of various lesions on the penis. These lesions may include:
The procedure for CPT® Code 54057 involves several key steps to ensure effective destruction of the lesions:
Following the procedure coded as CPT® 54057, patients may experience some localized discomfort or swelling at the treatment site. It is important for the physician to provide post-procedure care instructions, which may include recommendations for pain management, wound care, and signs of potential complications to monitor. Patients are typically advised to avoid sexual activity until the area has healed adequately. Follow-up appointments may be scheduled to evaluate the treatment's effectiveness and to determine if any further interventions are necessary.
| Short Descr | LASER SURG PENIS LESION(S) | Medium Descr | DSTRJ LESION PENIS SIMPLE LASER | Long Descr | Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery | Status Code | Active Code | Global Days | 010 - Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 117 - Other non-OR therapeutic procedures, male genital |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GC | This service has been performed in part by a resident under the direction of a teaching physician | GZ | Item or service expected to be denied as not reasonable and necessary | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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