Summary & Overview
CPT 54415: Removal of Previously Placed Penile Prosthesis Components
CPT code 54415 covers the surgical removal of synthetic material from a previously implanted noninflatable, semirigid or self-contained inflatable penile prosthesis and is used when the procedure does not include prosthesis replacement. Nationally, this code captures a distinct set of urologic revision procedures associated with device explantation for reasons such as infection, mechanical failure, erosion, or patient preference. Its use matters for coding accuracy, claims adjudication, and tracking device-related complications across care settings.
Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find concise guidance on the clinical context for reporting the code, typical sites of service (hospital operating room and ambulatory surgical center), common billing modifiers provided in the input, and where to look for related coding considerations. The report outlines what to expect in claims workflows, high-level benchmarking themes, and potential policy or coverage considerations that affect reimbursement and utilization reporting for explant procedures.
This summary is intended for coding staff, revenue cycle professionals, and clinical leaders seeking a national overview of CPT code 54415, including operational implications and coding context. Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.
Billing Code Overview
CPT code 54415 describes the removal of synthetic material from a previously placed noninflatable, semirigid or self-contained inflatable penile prosthesis. The procedure involves extracting prosthetic components from the penis and explicitly does not represent replacement of the prosthesis.
Service type: Surgical removal of penile prosthesis components
Typical site of service: Hospital operating room or ambulatory surgical center, depending on clinical circumstances and patient condition.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 68-year-old male with a previously implanted noninflatable semirigid penile prosthesis presents to the urology clinic with chronic pain, extrusion of the prosthesis material through the glans, and recurrent infection unresponsive to conservative therapy. After preoperative evaluation including labs and imaging to assess prosthesis position and local infection, the patient is scheduled for removal of the synthetic implant under general or regional anesthesia. In the operating room, the surgeon removes the noninflatable semirigid prosthesis from the corpora cavernosa without replacing it, controls hemorrhage, and irrigates the surgical field. Postoperative care includes wound monitoring, short inpatient observation or same-day discharge depending on comorbidities, and antibiotics as indicated. Documentation includes the indication for removal (e.g., infection, extrusion, pain), description of prosthesis type removed, anesthesia type, elements of the removal procedure, and any intraoperative complications.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier (unmodified service) | Use when no specific modifier applies and the procedure is reported without qualifiers |
51 | Multiple procedures |