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The procedure described by CPT® Code 54111 involves the excision of penile plaque associated with Peyronie's disease, which is a condition characterized by the formation of a hard, fibrous layer of scar tissue, known as plaque, beneath the skin of the penis. This plaque typically develops in the spongy erectile tissue, leading to a curvature of the penis during erection. The excision process begins with an incision in the overlying tissue to expose the plaque. Once exposed, the plaque may be either expanded through several linear incisions or completely excised. Following the excision or expansion, the affected area is covered using a graft, which can be made from skin, vein, or synthetic material. This specific code, 54111, is utilized when a graft measuring 5 cm or less is employed. It is important to note that there are alternative codes for similar procedures: CPT® Code 54110 is used when the procedure is performed without a graft, and CPT® Code 54112 is applicable when a graft exceeding 5 cm is required. This structured approach ensures that the procedure is accurately documented and coded for proper reimbursement and compliance.
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