54235 Njx corpora cavernosa prescription agt
Also known as: penile injection test, diagnostic/therapeutic injection
Injection of medication into the corpora cavernosa for vascular evaluation or therapeutic purposes.
In Plain Language
injecting medicine into penis for testing
Clinical Context
Used for diagnostic assessment of erectile function or therapeutic treatment. Allows evaluation of vascular response.
RVU Breakdown
| Work RVU | 1.16 |
| Total RVU | 1.16 |
Est. Medicare Payment
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.16, this code ranks in the 5th percentile among Surgery codes — 6.9x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 54235?
CPT 54235 (Njx corpora cavernosa prescription agt) is a Surgery code. Injection of medication into the corpora cavernosa for vascular evaluation or therapeutic purposes.
What is the wRVU value for CPT 54235?
The work RVU for CPT 54235 is 1.16. This code is primarily used by Urology, Sexual Medicine, Diagnostic.
When is CPT 54235 used?
Used for diagnostic assessment of erectile function or therapeutic treatment. Allows evaluation of vascular response.
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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.