Summary & Overview
CPT 54360: Surgical Repair of Penile Angulation
CPT code 54360 denotes surgical repair of penile angulation or abnormal curvature. This procedure addresses congenital or acquired curvature that may cause pain, functional impairment, or difficulty with intercourse. Nationally, such reconstructive urologic procedures are clinically significant for quality of life and may be subject to payer-specific coverage criteria and prior authorization processes.
Key payers covered include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find practical information on the clinical indication represented by the code, typical settings where the service is performed, and the relevance of the code for billing and policy contexts. The publication summarizes common utilization patterns and benchmarks, outlines typical sites of service, and highlights areas where policy updates or payer-specific rules can affect coverage and claims processing.
This executive summary provides a national perspective for clinicians, coding professionals, and policy analysts seeking a concise understanding of CPT code 54360, its clinical role, and the payer landscape relevant to surgical correction of penile curvature.
Billing Code Overview
CPT code 54360 describes a surgical procedure to repair angulation or abnormal curvature of the penis. The service involves corrective surgery to restore more typical penile alignment and relieve symptoms related to curvature.
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Service type: Surgical corrective procedure (urologic/penile reconstructive surgery)
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Typical site of service: Hospital operating room or ambulatory surgical center
Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult male presenting with penile curvature causing pain, difficulty with sexual intercourse, or psychological distress. Evaluation includes history (onset, trauma, progression), physical exam documenting degree and direction of curvature, and may include photographs or intraoperative artificial erection testing. Conservative measures (observation, oral medications, or intralesional injections) may be attempted first for Peyronie disease; surgical correction using 54360 is considered when curvature is stable, functionally limiting, or refractory to nonsurgical therapy. Preoperative assessment includes informed consent, review of comorbidities (cardiovascular disease, diabetes), medication reconciliation (anticoagulants), and anesthesia evaluation. Typical site of service is an outpatient ambulatory surgery center or hospital operating room. The clinical workflow: preoperative clinic visit with counseling and documentation of curvature measurements, pre-op clearance and anesthesia plan, intraoperative placement of traction or artificial erection to define angulation, surgical straightening procedure per 54360, intraoperative hemostasis and dressing, postoperative pain management, and follow-up visits to assess wound healing, erectile function, and satisfaction.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier |