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Excision of penile plaque associated with Peyronie's disease involves the surgical removal of fibrous scar tissue that forms beneath the skin of the penis, leading to curvature during erection. Peyronie's disease is characterized by the presence of this hard, fibrous plaque, which can cause discomfort and affect sexual function. The procedure typically begins with an incision in the overlying tissue to expose the plaque. Once the plaque is accessible, the surgeon may either expand it by making several linear incisions or excise it entirely. Depending on the extent of the excision, the areas may require coverage using a graft, which can be derived from skin, vein, or synthetic materials. The specific CPT® code used for billing will depend on the length of the graft utilized: CPT® Code 54110 is applicable when no graft is used, CPT® Code 54111 is for grafts measuring 5 cm or less, and CPT® Code 54112 is designated for grafts exceeding 5 cm in length.
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Excision of penile plaque (Peyronie disease) is indicated for patients experiencing significant curvature of the penis due to the presence of fibrous plaque, which can lead to pain, discomfort, and difficulties with sexual intercourse. The procedure is typically considered when conservative treatments have failed to alleviate symptoms or when the curvature is severe enough to impact the patient's quality of life.
The procedure for excision of penile plaque involves several key steps that ensure effective removal of the plaque and restoration of penile function.
After the excision of penile plaque, patients are typically monitored for any immediate complications. Post-procedure care includes instructions for wound care, pain management, and activity restrictions to promote healing. Patients may be advised to avoid sexual activity for a specified period to allow for proper recovery. Follow-up appointments are essential to assess healing and address any concerns that may arise during the recovery process. The expected recovery time can vary based on individual factors, but most patients can anticipate a gradual return to normal activities within a few weeks.
| Short Descr | TREAT PENIS LESION GRAFT | Medium Descr | EXC PENILE PLAQUE GRAFT > 5 CM LENGTH | Long Descr | Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length | 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) | 1 - Co-surgeons could be paid, though supporting documentation is required... | 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) | P1G - Major procedure - 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). | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 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 | CR | Catastrophe/disaster related | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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