CPT code 54112 denotes excision of fibrous plaque or abnormal tissue of the penis with reconstruction using a skin graft larger than five centimeters to correct deformity from Peyronie’s disease. This urologic reconstructive procedure is clinically significant because it treats severe penile curvature, pain during erection, palpable shaft nodules, and penile shortening, all of which can have substantial quality-of-life and sexual health implications. Nationally, coverage and utilization of complex reconstructive penile procedures affect surgical access and out-of-pocket exposure for patients.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find clinical context for when this surgery is performed, the typical sites of service, and the elements that define the procedure for coding purposes. The publication summarizes common modifiers and payer considerations where available, highlights benchmarks and coverage patterns when present, and summarizes relevant policy updates that may influence prior authorization and coverage determinations. The content is intended to inform billing, coding, and clinical teams about the code’s clinical intent, reporting expectations, and areas where payer policy can affect patient access and reimbursement processes.