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54205 Njx procedures peyronie ds exps plaq

Surgery Global 90d

Also known as: injection with plaque excision, Peyronie's disease surgery

Injection of medication into the corpora cavernosa with excision of Peyronie's plaque for treatment of Peyronie's disease.

In Plain Language

injecting and surgically removing Peyronie's plaque

Clinical Context

Used for Peyronie's disease with significant curvature or plaque. Excision combined with injection optimizes straightening.

RVU Breakdown

Work RVU8.75
Total RVU8.75

Est. Medicare Payment

$292.25

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 8.75, this code ranks in the 53rd percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

UrologySexual MedicinePenile/Urethral Surgery

Frequently Asked Questions

What is CPT code 54205?

CPT 54205 (Njx procedures peyronie ds exps plaq) is a Surgery code. Injection of medication into the corpora cavernosa with excision of Peyronie's plaque for treatment of Peyronie's disease.

What is the wRVU value for CPT 54205?

The work RVU for CPT 54205 is 8.75. This code is primarily used by Urology, Sexual Medicine, Penile/Urethral Surgery. It has a 90-day global period.

When is CPT 54205 used?

Used for Peyronie's disease with significant curvature or plaque. Excision combined with injection optimizes straightening.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.