54411 prior authorization | Blue Cross Blue Shield Oklahoma

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, is on the Blue Cross Blue Shield Oklahoma commercial prior authorization list. Not a coverage or referral decision.

Code: 54411
Description: 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
Source: 2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 238 Original policy

Blue Cross Blue Shield Oklahoma prior authorization

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