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.