Prior Auth Required
54405 - Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceInsertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and
Procedure / Service Description
adjustable transprostatic implant (List separately in addition to code for primary procedure) - 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 54406 Removal of all components of a multi-component, inflatable penile prosthesis without replacement of
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.