Summary & Overview
CPT 54408: Repair of Inflatable Penile Prosthesis
CPT code 54408 represents surgical repair of a previously placed multicomponent inflatable penile prosthesis. This code is used when a provider surgically repairs the inflatable synthetic material of an implanted penile prosthesis to restore device function. Nationally, the code is significant for specialty urologic surgical coding and device-related procedure tracking, with implications for device management, complication resolution, and post-implant care.
Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of coding intent and clinical context, typical sites where the service is delivered (hospital operating rooms and ambulatory surgical centers), and the common procedural scenarios that prompt use of this code. The publication also outlines benchmarks and payment considerations, policy updates affecting implantable device repairs, and operational coding guidance relevant to billing and claims workflows. Data not available in the input is noted where applicable, and clinical context is framed for a national audience interested in surgical device management and reimbursement implications.
Billing Code Overview
CPT code 54408 describes the surgical repair of a previously placed inflatable synthetic material for a multicomponent, inflatable penile prosthesis in the penis of a patient. This procedure involves reopening and repairing components of an existing inflatable penile implant to restore function.
-
Service type: Surgical repair of implanted multi-component inflatable penile prosthesis
-
Typical site of service: Hospital operating room or ambulatory surgical center
Clinical & Coding Specifications
Clinical Context
A 58-year-old man with a previously implanted multi-component inflatable penile prosthesis presents with device malfunction characterized by inability to inflate or deflate the implant and/or fluid leakage. The patient has a history of erectile dysfunction refractory to medical therapy and had the original implant placed years earlier. Evaluation includes focused genitourinary history, device interrogation, and physical exam assessing pump, cylinder, and reservoir function. Imaging such as pelvic or scrotal ultrasound or plain radiographs may be used when hardware failure or migration is suspected. The clinical workflow proceeds with preoperative counseling, informed consent addressing risks including infection and device explantation, perioperative antibiotics per facility protocol, intraoperative exploration of the prior prosthesis via previous scar/incision, identification of the failed inflatable synthetic component, surgical repair or replacement of the failed component while preserving functioning components when feasible, intraoperative testing of the prosthesis, and postoperative instructions including activity restrictions and follow-up for wound checks and device activation.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier used — placeholder in the provided list | Not a standard CMS modifier for reporting; do not append unless required by payer. |