Find policies, billing codes, payers, states, and providers

CPT 54411: Removal and Replacement of Multicomponent Inflatable Penile Prosthesis

CPT code 54411 denotes the intraoperative removal and immediate replacement of the inflatable synthetic components of a multicomponent inflatable penile prosthesis. The code captures a definitive surgical revision performed in a single operative session and is relevant for urology surgical practices and facilities that manage penile prosthesis complications, device failures, or elective device upgrades. Nationally, it matters because it affects surgical case mix, device utilization, and payment policies for prosthetic urologic procedures.

Key payers commonly involved in coverage decisions for this service include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find benchmarks and policy-relevant context for reimbursement coding and site-of-service considerations, as well as clinical context describing the procedure’s intent and typical surgical setting. The content highlights coding specificity required for prosthesis revision procedures, summarizes typical sites of service (hospital operating room and ambulatory surgery center), and identifies where additional clinical and billing details are required. Data not available in the input will be noted where applicable.

Customize your policy alerts

Sign up for cpt 54411 policy alerts

Get alerted when payer policies referencing 54411 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Billing Code Overview

CPT code 54411 describes the removal and replacement, during the same operative session, of the previously placed inflatable synthetic material of a multicomponent inflatable penile prosthesis from the penis of a patient. This service is a surgical prosthesis revision procedure involving explantation of existing inflatable components and immediate replacement with new inflatable components of a multicomponent device.

Service type: Surgical prosthesis removal and replacement (operative revision of multicomponent inflatable penile prosthesis)
Typical site of service: Hospital operating room or ambulatory surgery center (inpatient or outpatient surgical setting depending on clinical circumstances)

Explore openpayer tools

View all tools

Find policies, billing codes, payers, states, and providers

CPT 54411: Removal and Replacement of Multicomponent Inflatable Penile Prosthesis

Customize your policy alerts

Sign up for cpt 54411 policy alerts

Get alerted when payer policies referencing 54411 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Billing Code Overview

Service type: Surgical prosthesis removal and replacement (operative revision of multicomponent inflatable penile prosthesis)
Typical site of service: Hospital operating room or ambulatory surgery center (inpatient or outpatient surgical setting depending on clinical circumstances)

Clinical & Coding Specifications

Clinical Context

A 64-year-old male with a previously implanted multicomponent inflatable penile prosthesis presents with device malfunction characterized by inability to inflate the cylinders and persistent buckling during attempted use. After evaluation in the urology clinic, physical exam and device interrogation suggest mechanical failure of the penile components without evidence of active infection. The patient is scheduled for removal and replacement of the inflatable synthetic material from the penis at the same operative session. Preoperative workflow includes informed consent, preoperative medical clearance, verification of device type and manufacturer, antibiotic prophylaxis per facility protocol, and marking of prior incision sites. Intraoperative workflow includes explantation of the failed cylinders and any intracorporal components confined to the penis, inspection for fibrosis, scar management, placement of replacement inflatable cylinders (multicomponent prosthesis), hemostasis, and irrigation with antibiotic solution. Postoperative workflow includes recovery monitoring, pain control, instructions for device cycling after healing, wound care, and scheduling of follow-up with the implanting urologist for device education and activation when appropriate.

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier — default	Used when no specific modifier applies to the service.
`22`	Increased procedural services	When work required is substantially greater than typical for the procedure (document rationale).
`23`	Unusual anesthesia — medically necessary	When procedure performed under general anesthesia due to patient condition though usually performed with local/regional.
`26`	Professional component	If separate professional component billing is applicable for interpretation or professional services (rare for this surgical code).
`50`	Bilateral procedure	Not typically applicable but used if bilateral separate procedures are performed and payer requires bilateral modifier.
`51`	Multiple procedures	When another distinct procedure is billed on the same day and payer requires modifier to indicate multiple procedures.
`52`	Reduced services	When the procedure is partially reduced or not completed as originally planned.
`53`	Discontinued procedure	When the procedure is terminated prior to completion for patient-related or emergent reasons.
`62`	Two surgeons	When two surgeons perform distinct portions of the procedure requiring concurrent expertise.
`63`	Procedure performed on infants less than 4 kg	Rarely applicable; used only if patient meets weight criteria.
`78`	Return to OR for related procedure during global period	When a related return to the operating room occurs for a complication during the global period.
`79`	Data not available in the input.	Data not available in the input.

Taxonomy Code	Specialty	Notes
`208000000X`	Urology	Primary specialty performing penile prosthesis removal/replacement.
`208600000X`	Female Pelvic Medicine & Reconstructive Surgery	Some reconstructive genitourinary surgeons may perform complex revisions.
`207K00000X`	Surgery — General	General surgeons with urologic training occasionally involved in complex pelvic access or complications.
`363LP0800X`	Physician Assistant	PAs commonly assist in perioperative care and follow-up.
`363A00000X`	Nurse Practitioner	NPs assist in preoperative optimization and postoperative management.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`N48.4`	Mechanical complication of implanted device of penis	Directly describes mechanical failure of a penile implant necessitating removal and replacement.
`T85.89XA`	Other mechanical complication of other internal prosthetic device, initial encounter	Captures mechanical complications of internal prosthetic devices when a more specific code is not used.
`T85.898A`	Other complications of genitourinary prosthetic devices, implants and grafts, initial encounter	Used for other specified complications of genitourinary prostheses presenting for treatment.
`T85.89XD`	Other mechanical complication of other internal prosthetic device, subsequent encounter	Used for follow-up encounters related to mechanical complication after initial treatment.
`N49.0`	Acute epididymitis	Infection of adjacent structures may necessitate removal rather than salvage of an implant if active infection is present.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`54411`	Removal and replacement, at the same operative session, of the previously placed inflatable synthetic material of a multicomponent inflatable penile prosthesis from the penis	Primary procedure for explantation and immediate replacement of the penile cylinders and associated penile components.
`54415`	Removal and replacement, at the same operative session, of the previously placed inflatable synthetic material, including reservoir and pump, of a multicomponent inflatable penile prosthesis	Performed when the replacement includes removal and replacement of pump and reservoir in addition to penile components.
`54416`	Removal and replacement, at the same operative session, of the previously placed inflatable synthetic material with removal and replacement of reservoir only	Performed when reservoir exchange is required in addition to penile component work.
`54300`	Implantation, inflatable penile prosthesis, 3-piece	Code for initial implantation of a multicomponent (three-piece) inflatable penile prosthesis; relevant when converting from explant to new implantation in staged cases.
`54150`	Repair of urethra, internal (urethrotomy)	May be performed if intraoperative urethral injury or stricture requires repair during prosthesis revision.

CPT 54300: Chordee Correction with Possible Urethral Mobilization

CPT-54304-CHORDEE-HYPOSPADIAS-REPAIR-STAGE-1

CPT 54304: Correction of Chordee or First-Stage Hypospadias Repair

CPT-54308-HYPOSPADIAS-SECOND-STAGE-REPAIR-DISTAL-URETHRA

CPT 54308: Second-Stage Hypospadias Repair, Distal Urethra <3 cm

CPT-54312-HYPOSPADIAS-SECOND-STAGE-URETHROPLASTY

CPT 54312: Second-Stage Hypospadias Repair with Distal Urethroplasty

CPT-54316-HYPOSPADIAS-SECOND-STAGE-REPAIR-SKIN-GRAFT

CPT 54316: Second-Stage Hypospadias Repair with Skin Graft

CPT-54318-HYPOSPADIAS-REPAIR-THIRD-STAGE-RELEASE

CPT 54318: Third-Stage Hypospadias Repair, Release of Sutures and Penile-Scrotal Release

CPT-54322-HYPOSPADIAS-MEATAL-ADVANCEMENT-V-FLAP-REPAIR

CPT 54322: Hypospadias Repair with Meatal Advancement or V-Flap

CPT-54324-HYPOSPADIAS-REPAIR-SINGLE-STAGE-URETHROPLASTY-LOCAL-FLAP

CPT 54324: Single-Stage Hypospadias Repair with Local Skin Flap

CPT-54326-HYPOSPADIAS-REPAIR-URETHROPLASTY-LOCAL-SKIN-FLAPS

CPT 54326: Single-Stage Hypospadias Repair with Urethral Reconstruction

CPT-54328-SINGLE-STAGE-HYPOSPADIAS-REPAIR-CHORDEE-CORRECTION

CPT 54328: Single-Stage Hypospadias Repair with Chordee Correction

Showing 1–10 of 34

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier — default	Used when no specific modifier applies to the service.
`22`	Increased procedural services	When work required is substantially greater than typical for the procedure (document rationale).
`23`	Unusual anesthesia — medically necessary	When procedure performed under general anesthesia due to patient condition though usually performed with local/regional.
`26`	Professional component	If separate professional component billing is applicable for interpretation or professional services (rare for this surgical code).
`50`	Bilateral procedure	Not typically applicable but used if bilateral separate procedures are performed and payer requires bilateral modifier.
`51`	Multiple procedures	When another distinct procedure is billed on the same day and payer requires modifier to indicate multiple procedures.
`52`	Reduced services	When the procedure is partially reduced or not completed as originally planned.
`53`	Discontinued procedure	When the procedure is terminated prior to completion for patient-related or emergent reasons.
`62`	Two surgeons	When two surgeons perform distinct portions of the procedure requiring concurrent expertise.
`63`	Procedure performed on infants less than 4 kg	Rarely applicable; used only if patient meets weight criteria.
`78`	Return to OR for related procedure during global period	When a related return to the operating room occurs for a complication during the global period.
`79`	Data not available in the input.	Data not available in the input.

Taxonomy Code	Specialty	Notes
`208000000X`	Urology	Primary specialty performing penile prosthesis removal/replacement.
`208600000X`	Female Pelvic Medicine & Reconstructive Surgery	Some reconstructive genitourinary surgeons may perform complex revisions.
`207K00000X`	Surgery — General	General surgeons with urologic training occasionally involved in complex pelvic access or complications.
`363LP0800X`	Physician Assistant	PAs commonly assist in perioperative care and follow-up.
`363A00000X`	Nurse Practitioner	NPs assist in preoperative optimization and postoperative management.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`N48.4`	Mechanical complication of implanted device of penis	Directly describes mechanical failure of a penile implant necessitating removal and replacement.
`T85.89XA`	Other mechanical complication of other internal prosthetic device, initial encounter	Captures mechanical complications of internal prosthetic devices when a more specific code is not used.
`T85.898A`	Other complications of genitourinary prosthetic devices, implants and grafts, initial encounter	Used for other specified complications of genitourinary prostheses presenting for treatment.
`T85.89XD`	Other mechanical complication of other internal prosthetic device, subsequent encounter	Used for follow-up encounters related to mechanical complication after initial treatment.
`N49.0`	Acute epididymitis	Infection of adjacent structures may necessitate removal rather than salvage of an implant if active infection is present.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`54411`	Removal and replacement, at the same operative session, of the previously placed inflatable synthetic material of a multicomponent inflatable penile prosthesis from the penis	Primary procedure for explantation and immediate replacement of the penile cylinders and associated penile components.
`54415`	Removal and replacement, at the same operative session, of the previously placed inflatable synthetic material, including reservoir and pump, of a multicomponent inflatable penile prosthesis	Performed when the replacement includes removal and replacement of pump and reservoir in addition to penile components.
`54416`	Removal and replacement, at the same operative session, of the previously placed inflatable synthetic material with removal and replacement of reservoir only	Performed when reservoir exchange is required in addition to penile component work.
`54300`	Implantation, inflatable penile prosthesis, 3-piece	Code for initial implantation of a multicomponent (three-piece) inflatable penile prosthesis; relevant when converting from explant to new implantation in staged cases.
`54150`	Repair of urethra, internal (urethrotomy)	May be performed if intraoperative urethral injury or stricture requires repair during prosthesis revision.

CPT 54300: Chordee Correction with Possible Urethral Mobilization

CPT-54304-CHORDEE-HYPOSPADIAS-REPAIR-STAGE-1

CPT 54304: Correction of Chordee or First-Stage Hypospadias Repair

CPT-54308-HYPOSPADIAS-SECOND-STAGE-REPAIR-DISTAL-URETHRA

CPT 54308: Second-Stage Hypospadias Repair, Distal Urethra <3 cm

CPT-54312-HYPOSPADIAS-SECOND-STAGE-URETHROPLASTY

CPT 54312: Second-Stage Hypospadias Repair with Distal Urethroplasty

CPT-54316-HYPOSPADIAS-SECOND-STAGE-REPAIR-SKIN-GRAFT

CPT 54316: Second-Stage Hypospadias Repair with Skin Graft

CPT-54318-HYPOSPADIAS-REPAIR-THIRD-STAGE-RELEASE

CPT 54318: Third-Stage Hypospadias Repair, Release of Sutures and Penile-Scrotal Release

CPT-54322-HYPOSPADIAS-MEATAL-ADVANCEMENT-V-FLAP-REPAIR

CPT 54322: Hypospadias Repair with Meatal Advancement or V-Flap

CPT-54324-HYPOSPADIAS-REPAIR-SINGLE-STAGE-URETHROPLASTY-LOCAL-FLAP

CPT 54324: Single-Stage Hypospadias Repair with Local Skin Flap

CPT-54326-HYPOSPADIAS-REPAIR-URETHROPLASTY-LOCAL-SKIN-FLAPS

CPT 54326: Single-Stage Hypospadias Repair with Urethral Reconstruction

CPT-54328-SINGLE-STAGE-HYPOSPADIAS-REPAIR-CHORDEE-CORRECTION

CPT 54328: Single-Stage Hypospadias Repair with Chordee Correction

Showing 1–10 of 34

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

CPT 54411: Removal and Replacement of Multicomponent Inflatable Penile Prosthesis

Sign up for cpt 54411 policy alerts

Billing Code Overview

OpenPayer

CPT 54411: Removal and Replacement of Multicomponent Inflatable Penile Prosthesis

Sign up for cpt 54411 policy alerts

Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

CPT 54411: Removal and Replacement of Multicomponent Inflatable Penile Prosthesis

Sign up for cpt 54411 policy alerts

Billing Code Overview

CPT 54411: Removal and Replacement of Multicomponent Inflatable Penile Prosthesis

Sign up for cpt 54411 policy alerts

Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

What does CPT 54411 cover?

Which related CPT codes should be considered alongside 54411?

What diagnosis codes are appropriate to support billing for CPT 54411?

Where is CPT 54411 typically performed?

Which payers are commonly involved and are there modifier considerations for 54411?

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

What does CPT 54411 cover?

Which related CPT codes should be considered alongside 54411?

What diagnosis codes are appropriate to support billing for CPT 54411?

Where is CPT 54411 typically performed?

Which payers are commonly involved and are there modifier considerations for 54411?

References