Summary & Overview
CPT 54410: Removal and Replacement of Multicomponent Inflatable Penile Prosthesis
CPT code 54410 represents the explantation and immediate replacement of a multicomponent inflatable penile prosthesis and is used to bill for same-session removal of all prosthesis components followed by insertion of the same type of device. This procedure is clinically significant for patients undergoing revision or device failure who require definitive surgical management, and it carries implications for device-related coding, operative planning, and facility utilization across the United States.
Key national payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code’s clinical context, typical sites of service, and the payer landscape relevant to this operative procedure. The publication also summarizes common billing modifiers and related administrative considerations when available.
The report helps readers understand where this code fits in surgical urology service lines, what operational settings typically perform the procedure, and which payers commonly cover it. Data not available in the input is noted where applicable. The content is intended for billing managers, clinical coders, and policy analysts who need a focused, national-level briefing on CPT code 54410 and its clinical and administrative context.
Billing Code Overview
CPT code 54410 describes the removal of all components of a previously placed multicomponent, inflatable penile prosthesis from the penis with immediate replacement at the same surgical session with the same type of prosthesis. This is a surgical service involving explantation and implant of a multicomponent, inflatable penile prosthesis.
-
Service type: Surgical procedure — removal and replacement of a multicomponent inflatable penile prosthesis
-
Typical site of service: Hospital operating room or ambulatory surgical center
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is a male with a previously implanted multicomponent inflatable penile prosthesis who requires removal and immediate replacement of the device during the same operative session. Common clinical scenarios include device malfunction (mechanical failure), device erosion or migration without active infection, or significant component damage identified intraoperatively that warrants full component exchange. The workflow begins with preoperative evaluation by a urologist specializing in male reconstructive surgery, including history, focused genitourinary exam, device interrogation if available, and counseling regarding risks (bleeding, infection, anesthesia). Perioperative optimization includes antibiotic prophylaxis, informed consent, and verification of previous implant type/manufacturer. In the operating room under general or regional anesthesia, the surgeon explants all components of the existing multicomponent inflatable prosthesis, inspects the corporal bodies and reservoir space, performs necessary irrigation or debridement, and implants the same type of multicomponent inflatable prosthesis in the same session. Postoperative care includes pain management, wound care instructions, device cycling education once healed, and scheduled follow-up for assessment of function and complications. Typical site of service is an operating room within an ambulatory surgery center or hospital outpatient department; inpatient admission is uncommon unless there are complications or comorbid conditions requiring observation.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
51 |