Prior Auth Required

54401 - Insertion of penile prosthesis; inflatable (self-contained)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceInsertion of penile prosthesis; inflatable (self-contained)
Procedure / Service Description

adjustable transprostatic implant (List separately in addition to code for primary procedure) - 54125 Amputation of penis; complete 54400 Insertion of penile prosthesis; non-inflatable (semi-rigid) 54401 Insertion of penile prosthesis; inflatable (self-contained) 54405 Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir

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.