Prior Auth Required

54417 - Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceRemoval and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through
Procedure / Service Description

adjustable transprostatic implant (List separately in addition to code for primary procedure) - 54416 Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session 54417 Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue

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.