Prior Auth Required

54415 - Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceRemoval of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of
Procedure / Service Description

adjustable transprostatic implant (List separately in addition to code for primary procedure) - 54411 Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue 54415 Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis 54416 Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the

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.