1. Procedure and CPT® Code Selection:
The scenario describes the removal and replacement of an inflatable penile prosthesis due to erectile dysfunction.
CPT® Code 54416 is specifically used for the removal and replacement of a multi-component inflatable penile prosthesis. This code accurately describes the procedure performed.
2. Rationale for Excluding Other Options:
Code 54401 represents the initial insertion of a multi-component inflatable penile prosthesis but does not cover removal and replacement, making it inappropriate for this scenario.
Code 54400 is for the insertion of a non-inflatable (malleable) penile prosthesis, which does not apply here as the prosthesis is inflatable.
Code 4417 does not exist in the CPT® coding system and is likely a typo or incorrect option.
3. AAPC and CPT® Coding Guidelines:
According to AAPC and CPT® guidelines, 54416 is the correct code when an inflatable prosthesis requires both removal and replacement, without the need for additional modifiers for this procedure.
Therefore, the correct answer based on CPT® guidelines is D. 54416.
