| ICD-10: | T83.490A |
|---|---|
| Short Description: | Mech compl of implanted penile prosthesis, initial encounter |
| Long Description: | Other mechanical complication of implanted penile prosthesis, initial encounter |
Breakdown (mechanical) of implanted penile prosthesis, initial encounter. T83. 410A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
CPT54401Insertion of penile prosthesis; inflatable (self-contained)54405Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir54410Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session16 more rows
Procedure Details The inflatable penile implant consists of two cylinders, a reservoir, and a pump that are placed surgically in the body. The two cylinders are inserted in the penis and connected by tubing to a separate reservoir of fluid. The reservoir is implanted under the lower abdominal muscles.May 11, 2016
The AMS 700 Penile Implant includes of a pair of cylinders implanted in the penis, a pump placed inside the scrotum and a reservoir of saline placed in the lower abdomen. Squeezing and releasing the pump moves fluid into the cylinders, creating an erection.
In general, most Blue Cross commercial PPO and HMO plans including Anthem Blue Cross, Empire BCBS, Horizon BCBS, CareFirst Blue Cross, Highmark BC, Blue Cross of Texas, BC of California, Blue Cross of Illinois, BC of Florida and other Blue Cross plans have coverage for penile implantation surgery for men with organic ...
Modifier 76 Used to indicate a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service.Jan 25, 2022
For most men, erectile dysfunction can be successfully treated with medications or use of a penis pump (vacuum constriction device). You might consider penile implants if you aren't a candidate for other treatments or you can't get an erection sufficient for sexual activity by using other methods.
The recently-launched Tactra prosthesis is manually lifted up for intercourse and manually pushed down when not in use. It is the first new innovation in penile implants from Boston Scientific in more than a decade.Jul 29, 2019
“Does Medicare cover penile implant surgery?” Yes – Medicare or Medicare Advantage Plan provides coverage for penile implant surgery and all other Coloplast devices, as long as they meet criteria for being medically necessary.
For a patient who is paying cash, the approximate cost of the AMS 700 – 3 piece penile implant is $8500 dollars. The cost of the entire procedure is about $20,000.
FACT: The AMS 700 Penile Implant is durable and can last patients for many years. The implant is made of silicone and coated with parylene to mitigate cylinder fatigue and wear. According to a clinical review of over 55,000 implants, the 7 year mechanical failure free survival rate for the AMS 700 was 94.1% (p<0.0001).
The line of penile prostheses from Boston Scientific provides custom sizing and maximum performance. Boston Scientific, partnered with American Medical Systems (AMS), offers three types of penile prosthesis: AMS 700™ Inflatable Penile Prosthesis. AMS Ambicor™ Inflatable Penile Prosthesis.