54416 Remv/repl penis contain pros
Also known as: prosthesis replacement, penile implant exchange
Removal and replacement of a contained penile prosthesis with a new device.
In Plain Language
penis implant replacement
Clinical Context
Performed when exchanging a malfunctioning penile prosthesis for a new one during the same operative session. Common in urology for prosthesis maintenance or upgrade.
RVU Breakdown
| Work RVU | 11.78 |
| Total RVU | 11.78 |
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 11.78, this code ranks in the 64th percentile among Surgery codes — 1.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 54416?
CPT 54416 (Remv/repl penis contain pros) is a Surgery code. Removal and replacement of a contained penile prosthesis with a new device.
What is the wRVU value for CPT 54416?
The work RVU for CPT 54416 is 11.78. This code is primarily used by Urology. It has a 90-day global period.
When is CPT 54416 used?
Performed when exchanging a malfunctioning penile prosthesis for a new one during the same operative session. Common in urology for prosthesis maintenance or upgrade.
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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.