CPT® Code 54380

Epispadias is a congenital anomaly affecting the urinary tract, characterized by an incomplete development of the urethra, which results in the urethral opening being located in an abnormal position. In males, this typically manifests as the urethra exiting from the top or side of the penis instead of the tip. This condition can be associated with additional complications, such as malformations of the bladder neck and sphincter, as well as bladder exstrophy, where the bladder is turned inside out and protrudes through the abdominal wall. The surgical procedure denoted by CPT® Code 54380 involves a plastic operation on the penis specifically for the correction of epispadias that occurs distal to the external sphincter. The surgical approach includes making a circumferential incision below the glans, degloving the penile skin to expose Buck's fascia, and resecting the urethral meatus to the distal edge of the hypoplastic urethral tissue. An island flap is then harvested from the penile preputial skin to create a neourethra, which is developed over a stent or catheter. The procedure also involves splitting the glans and elevating flaps to cover the distal neourethra, trimming the foreskin, and mobilizing the degloved penile skin back up the shaft before suturing the incision. This comprehensive surgical intervention aims to restore normal urinary function and improve the anatomical appearance of the penis.