CPT® Code 54385

Epispadias is a congenital anomaly affecting the urinary tract, characterized by an incomplete development of the urethra, which leads to the urethral opening being located in an abnormal position. In males, this typically manifests as the urethral opening being situated on the top or side of the penis instead of at the tip. This condition can be further complicated by associated malformations such as bladder neck and sphincter defects, 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 54385 involves a plastic operation on the penis specifically for cases of epispadias that are complicated by the absence of the bladder neck and sphincter, resulting in urinary incontinence. The surgical approach often requires a staged repair, with the epispadias repair typically performed around the age of two, followed by bladder neck reconstruction around the age of four. This complex surgical intervention aims to restore normal urinary function and improve the anatomical structure of the urinary tract.