54401 Insert self-contd prosthesis
Also known as: self-contained prosthesis, malleable prosthesis
Insertion of a self-contained or malleable penile prosthesis for treatment of erectile dysfunction.
In Plain Language
implanting bendable rod for erections
Clinical Context
Used for erectile dysfunction. Self-contained prosthesis is bendable, allowing more concealment than semi-rigid.
RVU Breakdown
| Work RVU | 10.18 |
| Total RVU | 10.18 |
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 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 10.18, this code ranks in the 59th percentile among Surgery codes — 1.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 54401?
CPT 54401 (Insert self-contd prosthesis) is a Surgery code. Insertion of a self-contained or malleable penile prosthesis for treatment of erectile dysfunction.
What is the wRVU value for CPT 54401?
The work RVU for CPT 54401 is 10.18. This code is primarily used by Urology, Sexual Medicine, Prosthetic Surgery. It has a 90-day global period.
When is CPT 54401 used?
Used for erectile dysfunction. Self-contained prosthesis is bendable, allowing more concealment than semi-rigid.
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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.