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The CPT® Code 54060 refers to the surgical excision of one or more lesions located on the penis. This procedure is categorized under the destruction of lesions, which may include various types such as condyloma, papilloma, molluscum contagiosum, and herpetic vesicles. The physician employs a method of destruction that is deemed most appropriate for the specific lesion, which can include techniques such as chemical destruction, electrodessication, cryosurgery, laser surgery, electrosurgery, or surgical excision. Prior to the procedure, local anesthesia is administered as necessary to ensure patient comfort. The process begins with the identification of a narrow margin of healthy tissue surrounding the lesion, followed by a full-thickness incision through the mucous and submucous tissue. The entire lesion is excised, and the specimen is sent for histologic evaluation to confirm the diagnosis. Control of bleeding during the procedure is achieved through electrocautery or chemical cautery, and the wound may either be closed with a simple single-layer suture technique or left open to granulate, depending on the clinical judgment of the physician.
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The procedure described by CPT® Code 54060 is indicated for the treatment of various lesions on the penis. These include:
The procedure for CPT® Code 54060 involves several key steps to ensure effective excision of the lesion:
Post-procedure care for patients undergoing CPT® Code 54060 includes monitoring the surgical site for signs of infection, managing any discomfort with appropriate analgesics, and providing instructions for wound care. Patients are typically advised to keep the area clean and dry, and to avoid any activities that may irritate the site, such as vigorous physical activity or sexual intercourse, until healing is sufficiently advanced. Follow-up appointments may be scheduled to assess healing and to review the results of the histologic evaluation of the excised lesion.
| Short Descr | EXCISION OF PENIS LESION(S) | Medium Descr | DSTRJ LESION PENIS SIMPLE SURG EXCISION | Long Descr | Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision | 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 | 118 - Other 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. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | CG | Policy criteria applied | GA | Waiver of liability statement issued as required by payer policy, individual case | GC | This service has been performed in part by a resident under the direction of a teaching physician | GW | Service not related to the hospice patient's terminal condition | GZ | Item or service expected to be denied as not reasonable and necessary | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | SG | Ambulatory surgical center (asc) facility service | UB | Medicaid level of care 11, as defined by each state | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | 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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| Pre-1990 | Added | Code added. |
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