Summary & Overview
CPT 54060: Surgical Excision of Penile Skin Lesion
CPT code 54060 represents the surgical destruction and excision of a penile skin lesion (examples include condyloma, papilloma, molluscum contagiosum, and herpetic vesicles). This code captures a focused, lesion-directed surgical procedure intended to remove or eradicate symptomatic or potentially infectious lesions and to relieve pain. Nationally, accurate use of this CPT code matters for correct clinical documentation, appropriate reimbursement for minor genitourinary surgical procedures, and consistent reporting of procedural care for penile dermatologic conditions.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the clinical scope of the code, the typical service setting (outpatient procedure room, ambulatory surgery center, or office surgical suite), and the core administrative context for billing the procedure. The publication also highlights typical modifiers used with surgical CPT coding, outlines related clinical use cases, and summarizes common policy considerations affecting coverage and payment. Data not provided in the input — such as specific payer fee schedules, ICD-10 linkages, and taxonomy details — are noted as not available in the input. This resource is intended to clarify clinical and billing intent for CPT code 54060 at a national level.
Billing Code Overview
CPT code 54060 describes the surgical destruction and removal of a skin lesion of the penis, such as condyloma, papilloma, molluscum contagiosum, or a herpetic vesicle. The procedure involves surgical excision of the lesion to eradicate the lesion and relieve pain.
Service type: Surgical lesion destruction/excision
Typical site of service: Outpatient surgical suite, ambulatory surgery center, or office procedure room
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 28-year-old male presents to a urology clinic with multiple painless papillary lesions on the penile shaft and glans consistent with condyloma acuminata. The clinician documents lesion size, number, location, and duration. After topical therapy failed and lesions caused psychosocial distress, the provider counsels the patient, obtains informed consent, and performs an excisional destruction of the lesions under local anesthesia in the outpatient clinic. Hemostasis is achieved with electrocautery, specimens are sent for pathology when indicated, and post-procedure wound care instructions and follow-up for wound check and sexual activity counseling are provided. Typical workflow includes pre-procedure verification, administration of local anesthetic, surgical excision/removal of each lesion using scalpel or curettage, documentation of lesion count and method, application of topical antibiotic or dressing, and coding/billing for 54060 with applicable modifier if required by payer rules.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
11 | Office or other outpatient visit | When the procedure is performed in the outpatient clinic setting and payer requires this modifier for standard reporting |
22 |