54450 Preputial stretching
Also known as: preputial stretching, foreskin stretching
Stretching of prepuce (foreskin) tissue to restore or improve mobility and function.
In Plain Language
foreskin stretching
Clinical Context
Non-incisional treatment of phimosis (tight foreskin) or preputial stenosis using manual stretching techniques, often with local anesthetic.
RVU Breakdown
| Work RVU | 1.09 |
| Total RVU | 1.09 |
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 1.09, this code ranks in the 5th percentile among Surgery codes — 7.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 54450?
CPT 54450 (Preputial stretching) is a Surgery code. Stretching of prepuce (foreskin) tissue to restore or improve mobility and function.
What is the wRVU value for CPT 54450?
The work RVU for CPT 54450 is 1.09. This code is primarily used by Urology.
When is CPT 54450 used?
Non-incisional treatment of phimosis (tight foreskin) or preputial stenosis using manual stretching techniques, often with local anesthetic.
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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.