CPT® Code 54390

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 abnormally, typically on the top or side of the penis instead of at the tip. This condition can lead to complications such as bladder neck and sphincter malformations, as well as bladder exstrophy, where the bladder is turned inside out and protrudes through the abdominal wall. The surgical procedure described by CPT® Code 54390 involves a plastic operation on the penis specifically for cases of epispadias that are distal to the external sphincter and are accompanied by bladder exstrophy. The surgical intervention aims to correct these anatomical defects, which may be addressed in a single operation or through a series of staged procedures. The complexity of the surgery necessitates careful planning and execution to ensure proper anatomical reconstruction and function, addressing both the epispadias and the associated bladder exstrophy effectively.