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Excision of penile plaque associated with Peyronie's disease involves the surgical removal of fibrous scar tissue that forms beneath the skin of the penis, leading to curvature during erection. Peyronie's disease is characterized by the presence of this hard, fibrous plaque, which can cause discomfort and affect sexual function. The procedure typically begins with an incision in the overlying tissue to expose the plaque. Once the plaque is accessible, the surgeon may either expand it by making several linear incisions or excise it entirely. Depending on the extent of the excision, the areas may require coverage using a graft, which can be derived from skin, vein, or synthetic materials. The specific CPT® code used for billing will depend on the length of the graft utilized: CPT® Code 54110 is applicable when no graft is used, CPT® Code 54111 is for grafts measuring 5 cm or less, and CPT® Code 54112 is designated for grafts exceeding 5 cm in length.
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