CPT code 54416 represents the surgical removal and immediate replacement of a previously placed penile prosthesis (noninflatable semirigid or self-contained inflatable). The code captures a definitive, single-session operative service that combines explantation and reimplantation, making it clinically and financially significant for urology surgical practices and facility billing nationwide.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find national context on the code’s clinical use, typical sites of service (hospital operating room and ambulatory surgery centers), and how the service integrates into urologic operative workflows. The publication outlines typical payment considerations and benchmarking information at a national level, alongside policy-relevant topics such as coverage scope for replacement of malfunctioning or infected devices and implications for facility versus professional billing.

This summary equips billing professionals, urology clinicians, and policy analysts with a concise reference to the procedure’s definition, common settings where it is performed, and the payers commonly relevant to coverage and claims processing. Data not available in the input is noted where applicable elsewhere in the publication.