CPT® Code 53444

The CPT® Code 53444 refers to the procedure of inserting a tandem cuff, also known as a dual cuff, which is a component of an artificial urinary sphincter (AUS) system. This procedure is typically indicated when there is a failure of the initially placed cuff, necessitating a replacement to restore proper urinary control. The insertion involves a surgical incision made at the bulbous urethra, the anatomical location where the cuff is situated. During the procedure, the existing cuff is carefully exposed and mobilized to allow for its removal. The tubing connected to the cuff is clamped, and the cuff is detached from the urethra. Following this, the diameter of the urethra is measured to ensure the correct sizing of the new cuffs. Two cuffs are then positioned around the urethra and linked to the existing tubing of the AUS system. After the placement, the AUS system is activated, and the bladder is filled to assess the functionality of the cuffs, checking for any signs of leakage. Once it is confirmed that the system is operating effectively without leakage, the surgical incision is closed, completing the procedure.