CPT® Code 53448

Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement of infected tissue

The procedure described by CPT® Code 53448 involves the removal and replacement of an inflatable urethral or bladder neck sphincter (AUS) in patients who have developed an infection related to the device. This complex surgical intervention is performed through the same incision site(s) used for the initial implantation of the AUS. The procedure is critical for patients experiencing complications due to infection, as it not only addresses the removal of the infected device but also ensures that a new device can be safely implanted. The process includes thorough irrigation and debridement of any infected tissue to promote healing and prevent further complications. The surgical approach varies between male and female patients, with specific techniques employed to access the device and surrounding structures. The procedure is designed to restore urinary function while managing the infection effectively, ensuring that the new AUS system can be placed in a clean surgical field.