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Official Description

Nocturnal penile tumescence and/or rigidity test

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The nocturnal penile tumescence and/or rigidity test, identified by CPT® Code 54250, is a diagnostic procedure aimed at assessing the occurrence and quality of erections during sleep. This test is particularly significant in the evaluation of erectile dysfunction, as it helps to differentiate between psychological and physiological causes of the condition. During the test, an electronic monitoring device is utilized to capture data on the frequency of erections, the duration of each erection, and the rigidity of the penis throughout the night. The results obtained from this test provide valuable insights into the patient's erectile function, allowing healthcare providers to make informed decisions regarding further evaluation and treatment options. The test can be conducted in various settings, including the patient's home or a specialized sleep laboratory, depending on the specific circumstances and requirements of the evaluation. Following the test, the physician is responsible for reviewing the recorded data and delivering a comprehensive written interpretation of the findings to guide subsequent clinical management.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The nocturnal penile tumescence and/or rigidity test is indicated for the evaluation of erectile dysfunction and is performed under the following circumstances:

  • Assessment of Erectile Dysfunction This test is utilized to determine the presence and quality of nocturnal erections, which can help identify the underlying causes of erectile dysfunction.
  • Differentiation of Causes The results assist in distinguishing between psychological factors and physiological conditions contributing to erectile dysfunction.

2. Procedure

The procedure for the nocturnal penile tumescence and/or rigidity test involves several key steps to ensure accurate data collection and analysis:

  • Preparation The patient may be instructed to prepare for the test by avoiding certain medications or substances that could affect erectile function. The physician will provide specific guidelines based on the patient's medical history.
  • Device Application An electronic monitoring device is applied to the penis before the patient goes to sleep. This device is designed to measure and record the occurrence, duration, and rigidity of erections throughout the night.
  • Monitoring Period The patient will typically undergo monitoring during a full night of sleep. The device collects data on the number of erections, how long they last, and the rigidity level of each erection.
  • Data Retrieval Upon waking, the patient removes the monitoring device, and the recorded data is retrieved for analysis. This data is crucial for understanding the patient's erectile function during sleep.
  • Physician Review The physician reviews the collected data, analyzing the frequency and quality of nocturnal erections. This analysis is essential for determining the next steps in the patient's care.

3. Post-Procedure

After the nocturnal penile tumescence and/or rigidity test, the patient may resume normal activities. The physician will provide a written interpretation of the results, which will be discussed with the patient in a follow-up appointment. This discussion may include recommendations for further testing or treatment options based on the findings of the test. It is important for the patient to understand the implications of the results and any potential next steps in their management of erectile dysfunction.

Short Descr NCTRNL PEN TMSCN&/RGDITY TST
Medium Descr NOCTURNAL PENILE TUMESCENCE &/RIGIDITY TEST
Long Descr Nocturnal penile tumescence and/or rigidity test
Status Code Active Code
Global Days 000 - Endoscopic or Minor Procedure
PC/TC Indicator (26, TC) 1 - Diagnostic Tests for Radiology Services
Multiple Procedures (51) 0 - No 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) 0 - Payment restriction for assistants at surgery applies 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 Procedure or Service, Multiple Reduction Applies
ASC Payment Indicator Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs.
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P6C - Minor procedures - other (Medicare fee schedule)
MUE 1
CCS Clinical Classification 116 - Diagnostic procedures, male genital
26 Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number.
Date
Action
Notes
2025-01-01 Changed Short Description changed.
2013-01-01 Changed Medium Descriptor changed.
Pre-1990 Added Code added.
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