Prior Auth Required

54400 - Penile Implant - Cosmetic & Reconstructive Insert semi-rigid prosthesis

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServicePenile Implant - Cosmetic & Reconstructive Insert semi-rigid prosthesis
Procedure / Service Description

Code Mod Procedures & Services Description Rule Description - 50370 Transplant Procedures Remove transplanted kidney Only Performed Inpatient 50380 Transplant Procedures Reimplantation of kidney Only Performed Inpatient 54400 Penile Implant - Cosmetic & Reconstructive Insert semi-rigid prosthesis 54401 Penile Implant - Cosmetic & Reconstructive Insert self-contd prosthesis 54405 Penile Implant - Cosmetic & Reconstructive Insert Multi-Comp Penis Pros

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.