Urology Coding Alert
Report Unlisted Code in This Case
Question: We have been billing for Penuma® penile implants and removals with 55899. However, we have had a couple of infected devices requiring removal, and were wondering if these possibly qualified for 54415? The code descriptor says, “Removal of inflatable or non-inflatable penile prosthesis, without replacement of prosthesis.” I know this is generally used for penile implants like rods or penile pumps that are not the three-piece, but I was wondering if it would apply here? While Penuma® is not generally covered by insurance, it is considered a prosthesis. Which code should I report? AAPC Forum Subscriber Answer: You should report 55899 (Unlisted procedure, male genital system) for the removal. The Penuma® does not fit the 54415 descriptor.
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Report Unlisted Code in This Case
Question: We have been billing for Penuma® penile implants and removals with 55899. However, we have [...]
