CPT® Code 53449

The CPT® Code 53449 refers to the surgical procedure for the repair of an inflatable urethral or bladder neck sphincter, which includes the components of the device such as the pump, reservoir, and cuff. This procedure is typically indicated when there is a mechanical failure of the artificial urinary sphincter (AUS). Such failures can occur due to various reasons, including depressurization from loss of fluid or disconnection of components, as well as obstruction caused by kinks in the tubing or improper positioning of the pump. To diagnose the issue, healthcare providers may utilize physical examinations, radiologic imaging, or urodynamic studies. If these diagnostic methods indicate that surgical intervention is necessary, the procedure involves making small incisions in the lower abdomen to access the internal components of the AUS. The goal of the repair is to restore the functionality of the device, ensuring that it operates correctly to manage urinary incontinence effectively.