Prior Auth Required

54120 - Amputation of penis; partial

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceAmputation of penis; partial
Procedure / Service Description

Male to Female Surgery - 53425 Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage 54120 Amputation of penis; partial 54125 Amputation of penis; complete 54300 Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.