CPT® Code 54450

The CPT® Code 54450 refers to a procedure known as foreskin manipulation, which includes the lysis of preputial adhesions and stretching of the foreskin. This procedure is primarily indicated for males experiencing tight foreskin, a condition medically termed phimosis, or for those with adhesions present between the remaining foreskin and the glans penis. In the case of an uncircumcised male, the procedure involves the physician pulling back the foreskin to expose the glans penis, followed by stretching the foreskin to alleviate tightness and break up any adhesions that may be present. For circumcised males, the procedure focuses on the manipulation of the remaining foreskin, where the physician manually works to break up adhesions that may have formed between the foreskin and the glans. This manipulation is essential for restoring normal function and comfort, as it addresses both physical restrictions and potential complications associated with these conditions.