![]() For Carson Tahoe members: 80 Toll Free 83įor pharmacy services and products, please consult the current upcoming changes to medical, administrative or reimbursement codes requiring prior authorization, please consult the Upcoming Changes to Codes Requiring Prior Authorization list.For Mountain Health Cooperative members: 84.Thread starter jwbcoder Start date Create Wiki J. Wiki Need help coding for tunica albuginea plication. In the CPT® Index look for Repair/Penis/Injury. Do not report CPT® codes used for treatment of priapism when there is injury to the penis. Any suggestions would be greatly appreciated :confused: Menu. 54440 Rationale: Repair for penile injury is reported using CPT® code 54440. For Individual Exchange members: 80 Toll Free 83 I cannot find a CPT code for tunica albuginea plication.For Commercial Group members: 80 Toll Free 83.Providers should verify eligibility, benefits and whether prior authorization is required for all members prior to rendering services by contacting Health Plans at the following numbers: Coverage is determined by the member specific benefit plan document and any applicable laws regarding coverage of specific services. Inclusion of a procedure or device code(s) does not constitute or imply coverage nor does it imply or guarantee provider reimbursement. These lists are modified periodically with appropriate notice of these changes consistent with state and federal requirements. Code 51940 is repair of the exstrophy only code 51860 is a cystorrhaphy, suture of bladder wound or injury code 51880 is the closure of a. Code 54390 Plastic operation on penis for epispadias distal to external sphincter with exstrophy of bladder. In addition, inclusion on this list indicates, if covered the code would require prior authorization for coverage. 54390 Rationale: In the CPT® Index look for Repair/Epispadias with code range 54380-54890. Pandyan GV, Zaharani AB and Al Rashid M: Fracture penis: an analysis of 26 cases. Hinev A: Fracture of the penis: treatment and complications. Penile fractures usually present with acute pain and a cracking sound, accompanied by immediate loss. Nasser TA and Mostafa T: Delayed surgical repair of penile fracture under local anesthesia. It is a rare condition that results from traumatic bending of the erect penis, typically during sexual intercourse or masturbation. It does not indicate/list codes which may be excluded from coverage or not covered for other reasons. Penile fracture refers to the traumatic rupture of the tunica albuginea and the corpora cavernosa of the penis. Access to this feature is available in the following products: Find-A-Code Essentials. CPT code information is copyright by the AMA. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. This document is intended only to provide information related to which CPT/HCPCs codes require prior authorization. 54440 - CPT Code in category: Repair Procedures on the Penis. CPT® is a registered trademark of the American Medical Association. CPT Copyright 2017 American Medical Association.
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