CPT® Code 54411

Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue

The CPT® Code 54411 refers to the surgical procedure involving the removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field during the same operative session. This procedure is specifically indicated when there is an infection present, necessitating not only the replacement of the prosthetic device but also the irrigation and debridement of any infected tissue. The process begins with the insertion of a catheter transurethrally, followed by a midline incision in the lower abdomen, which allows access to the underlying structures. Surgeons identify the dorsal venous complex and the corporal bodies, carefully exploring the incision until they locate the tubing connected to the reservoir. The procedure requires meticulous dissection to free the reservoir, pump, and cylinders from their respective anatomical locations. In cases of infection, the surgical team performs copious irrigation with an antibiotic solution and debrides any necrotic tissue to ensure a clean operative field. After the removal of all components, the corporal bodies are resized, and a new prosthetic device is selected and inserted. The procedure concludes with thorough checks for functionality and leaks, followed by the closure of the incision sites. This code is distinct from CPT® Code 54410, which is used for similar procedures performed for reasons other than infection.