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The procedure described by CPT® Code 54110 involves the excision of penile plaque associated with Peyronie's disease. Peyronie's disease is a medical condition characterized by the formation of a hard, fibrous layer of scar tissue, known as plaque, which develops beneath the skin in the spongy erectile tissue of the penis. This plaque can lead to a curvature of the penis during an erection, causing discomfort and potential difficulties with sexual function. The excision procedure aims to remove this plaque to alleviate the curvature and restore normal function. During the procedure, the overlying tissue is carefully incised to expose the plaque. The surgeon may then either expand the plaque by making several linear cuts or excise it entirely. Depending on the extent of the excision, the areas may be covered with a graft, which can be made from skin, vein, or synthetic material. It is important to note that the specific CPT® codes used will depend on whether the procedure is performed with or without graft repair, with additional codes available for grafts of varying sizes.
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The excision of penile plaque associated with Peyronie's disease is indicated for patients who experience significant curvature of the penis due to the presence of fibrous plaque. This curvature can lead to discomfort, pain during erections, and difficulties with sexual intercourse. The procedure is typically considered when conservative treatments have failed to provide relief or when the curvature is severe enough to warrant surgical intervention.
The procedure for excising penile plaque associated with Peyronie's disease involves several key steps that ensure the effective removal of the plaque while minimizing damage to surrounding tissues.
After the excision of penile plaque, patients are typically monitored for a short period to ensure there are no immediate complications. Post-procedure care may include instructions on managing pain, caring for the surgical site, and avoiding sexual activity for a specified period to allow for proper healing. Patients may also be advised to follow up with their healthcare provider to monitor recovery and assess the success of the procedure. It is important for patients to adhere to all post-operative instructions to minimize the risk of infection and promote optimal healing.
| Short Descr | TREATMENT OF PENIS LESION | Medium Descr | EXCISION OF PENILE PLAQUE | Long Descr | Excision of penile plaque (Peyronie disease); | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5E - Ambulatory procedures - other | MUE | 1 | CCS Clinical Classification | 118 - Other OR therapeutic procedures, male genital |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2010-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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