CPT^® 54235, Under Introduction Procedures on the Penis

The Current Procedural Terminology (CPT^®) code 54235 as maintained by American Medical Association, is a medical procedural code under the range - Introduction Procedures on the Penis.

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Summary

The provider injects pharmacologic agents such as papaverine, phentolamine, or prostaglandin E1 into the corpora cavernosa of the penis. He performs this procedure to treat patients with erectile dysfunction.

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treatment for priapism

would like to have follow up clarification on CPT 54235, is this limited for treatment to erectile dysfunction? 54235 Corpora cavernosa is the spongy tissue of the penis. The physician injects med... [ Read More ]

treatment for priapism

I would suggest 54235. 54220 is for an irrigation which was not performed at this visit.... [ Read More ]

treatment for priapism

I need some help with coding this scenario in the ER "In light of ongoing priapism, patient was Prepped with betadine and injected with 1 cc in each corporal body with diluted phenylephrine and inj... [ Read More ]

Trimix Coding

In my office we bill only the 54235 to the insurance and the patient pays in cash for the medication or we give them a prescription and they take to the pharmacy. If we supply the drug we use the co... [ Read More ]

Trimix Coding

Hello, What is the HCPCS code that should be used for the Trimix injection? We are currently using CPT 54235, 93980. Any help is greatly appreciated. Thanks!... [ Read More ]

Injection for ED w/Office Visit

Recently one of our physicians documented a planned injection for erectile dysfunction (54235) with an office visit for what he documented as an additional 20 minutes of counseling and education for t... [ Read More ]

11 year old circ bundling

Hi - A Nevada Medicaid product is bundling an 11 year old's circumcision as "incidental to primary procedure", which appears they are calling the 54360 - the whole claim was billed with 54324, 54360,... [ Read More ]

CPT 54235 for Priapsim Injection

Hello, I recently had an ER chart where the patient came in for an erection that had been present for hours. The Manager states I should bill CPT 54235 and 99070 for the medicine. The Physician inser... [ Read More ]

54235 vs 54200 54200 54235 injection penis

I have a physician that is injecting lidocaine into the patient before he performs a 54200. He is wanting to bill 54235 as well. He states "I am not simply doing a subQ lidocaine injection for a local... [ Read More ]

Hypospadias repair question

Just my two cents, but if I were coding this op note I wouldn't code the 54235 for two reasons. 1.) As you mentioned, 54235 is used to inject pharma agents (i.e. Tri-Mix, Bi-Mix, etc.) to treat ED f... [ Read More ]

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