Question 1

A 21-year-old male has to have surgery to reduce a testicular torsion with fixation of contralateral testis. What CPT code should be used for this procedure?

Accepted Answer

54600 is the correct code for the surgical reduction of torsion of testis with or without fixation of contralateral testis.
Code 54550 is incorrect because this code is used for the exploration of undescended testis. Code 54620 is incorrect because this code is just for the fixation of contralateral testis. Code 54640 is incorrect because this code is for an orchiopexy.

Question 2

A 36-year-old man has to have a radical orchiectomy due to a tumor on the left side. This is done without abdominal exploration through the inguinal approach. What CPT code should be used for this procedure?

Accepted Answer

54530 is the correct code for a radical orchiectomy due to tumor using the inguinal approach.
Code 54520 is incorrect because this code is used for a simple orchiectomy. Code 54522 is incorrect because this code is for a partial orchiectomy. Code 54535 is incorrect because this is for a radical orchiectomy with abdominal exploration.

Question 3

A 34-year-old man has a spermatocele that has been getting larger and is now causing constant discomfort. He needs to have this removed but fortunately will not need to have an epididymectomy. What CPT code should be used for this procedure?

Accepted Answer

54840 is the correct code for excision of spermatocele with or without epididymectomy.
Code 54800 is incorrect because this code is for a needle biopsy of the epididymis. Code 54830 is incorrect because this code is for the excision of a local lesion of the epididymis. Code 54860 is incorrect because this code is for a unilateral epididymectomy.

Question 4

Due to severe epididymitis a 38-year-old man has to have a bilateral epididymectomy. What CPT code should be used for this procedure?

Accepted Answer

54861 is the correct code for a bilateral epididymectomy.
Code 54830 is incorrect because this code is for the excision of a local lesion of the epididymis. Code 54860 is incorrect because this code is for a unilateral epididymectomy. Code 54865 is incorrect because this code is for the exploration of the epididymis with or without biopsy.

Question 5

A 28-year-old man who had a vasectomy wishes to have this reversed. He is scheduled for a bilateral epididymovasostomy. What CPT code should be used for this procedure?

Accepted Answer

54901 is the correct code for a bilateral epididymovasostomy.
Code 54861 is incorrect because this code is for a bilateral epididymectomy. Code 54865 is incorrect because this code is used for the exploration of epididymis with or without biopsy. Code 54900 is incorrect because this is for a unilateral epididymovasostomy.

Question 6

A patient has a hydrocele that needs to be aspirated. He will have a puncture aspiration performed without any medication injected. What CPT code should be used for this procedure?

Accepted Answer

55000 is the correct code for a puncture aspiration of a hydrocele with or without injection of medication.
Codes 55040 and 55041 are both incorrect because there was no excision of a hydrocele performed. Code 55060 is incorrect because there was no repair of tunica vaginalis hydrocele.

Question 7

A 23-year-old male received a testicular injury and as a result ended up with bilateral hydroceles. Over time these began to become painful and he has elected to have both of these hydroceles removed. What CPT code should be used for this procedure?

Accepted Answer

55041 is the correct code for a bilateral hydrocele excision.
Code 55000 is incorrect because this code is used for a puncture aspiration of a hydrocele. Code 55040 is incorrect because this is the code for a unilateral hydrocele excision. Code 55060 is incorrect because this code is for the repair of a tunica vaginalis hydrocele.

Question 8

A man is scheduled for repair of his tunica vaginalis hydrocele using the bottle procedure. What CPT code should be used for this procedure?

Accepted Answer

55060 is the correct code for the Bottle type repair of a tunica vaginalis hydrocele.
Code 55000 is incorrect because this code is for a puncture aspiration of a hydrocele. Codes 55040 and 55041 are both incorrect because they are used for the excision of either a unilateral or bilateral hydrocele.

Question 9

A 32-year-old man has an abscess in his scrotal wall that needs to be drained. What CPT code should be used for this procedure?

Accepted Answer

55100 is the correct code for drainage of a scrotal wall abscess.
Code 55110 is incorrect because this is used for scrotal exploration. Code 55120 is incorrect because this code is used for the removal of a foreign body in the scrotum. Code 55150 is incorrect because this code is used for a resection of the scrotum.

Question 10

An 18-year-old male is scheduled for a simple scrotoplasty due to significant scrotal injury during a motor vehicle accident. What CPT code should be used for this procedure?

Accepted Answer

55175 is the correct code for a simple scrotoplasty.
Code 55110 is incorrect because this is the code for scrotal exploration. Code 55120 is incorrect because this code is for foreign body removal within the scrotum. Code 55180 is incorrect because this code is used for a complicated scrotoplasty.

Question 11

A complicated scrotoplasty is to be performed as part of a gender reassignment surgery. What CPT code should be used for this procedure?

Accepted Answer

55180 is the correct code for a complicated scrotoplasty.
Code 55110 is incorrect because this code is for scrotal exploration. Code 55120 is incorrect because this code is for the removal of a scrotal foreign body and 55175 is incorrect because this code is for a simple scrotoplasty.

Question 12

A 35-year-old man decides to have a bilateral vasectomy. What CPT code should be used for this procedure?

Accepted Answer

55250 is the correct code for a unilateral or a bilateral vasectomy.
Code 55200 is incorrect because this code is for a vasotomy. Code 55300 is incorrect because this code is for a vasotomy for vasograms, seminal vesiculograms or epididymograms. Code 55400 is incorrect because this code is for a vasovasostomy or vasovasorrhaphy.

Question 13

A man is getting ready to have bilateral vas deferens ligated percutaneously. What CPT code should be used for this procedure?

Accepted Answer

55450 is the correct code for either unilateral or bilateral ligation of vas deferens.
Code 55200 is incorrect because there was no vasotomy performed. Code 55250 is incorrect because no vasectomy was performed and 55400 is incorrect because no vasovasostomy or vasovasorrhaphy was performed.

Question 14

A young man needs to have a hydrocele of his spermatic cord removed. What CPT code should be used for this procedure?

Accepted Answer

55500 is the correct code for the excision of a hydrocele of the spermatic cord.
Code 55520 is incorrect because this code is for the excision of a lesion of the spermatic cord. Code 55530 is incorrect because this is the code for an excision of a varicocele or ligation of spermatic veins for varicocele. Code 55550 is incorrect because this code is for a surgical laparoscopy with ligation of spermatic veins for varicocele.

Question 15

A young man is undergoing a surgical laparoscopy to ligate the spermatic veins for a varicocele. What CPT code should be used for this procedure?

Accepted Answer

55550 is the correct code for surgical laparoscopy with ligation of spermatic veins for varicocele.
Code 55520 is incorrect because this code is for the excision of a lesion of the spermatic cord. Code 55530 is incorrect because this code is for the excision of varicocele or ligation of spermatic veins for varicocele. Code 55559 is incorrect because this code is for an unlisted laparoscopic procedure involving the spermatic cord.

Question 16

A 42-year-old man is scheduled to have a varicocele excised and have the spermatic veins ligated with hernia repair at the same time. What CPT code should be used for this procedure?

Accepted Answer

55540 is the correct code for the excision of varicocele or ligation of spermatic veins for varicocele with hernia repair.
Code 55520 is incorrect because this code is for the excision of a lesion of the spermatic cord. Code 55530 is incorrect because this code is for the excision of a varicocele or ligation of spermatic veins for varicocele. Code 55535 is incorrect because this is for the abdominal approach of excision of varicocele or ligation of spermatic veins for varicocele without mention of hernia repair.

Question 17

A 42-year-old man is scheduled for a bilateral vesiculotomy that is simple and is not complicated. What CPT code is used for this procedure?

Accepted Answer

55600 with modifier -50 is the correct code for a bilateral vesiculotomy.
Code 55600 is the correct code but is missing the modifier to signify that it was a bilateral procedure, instead of a unilateral procedure. Code 55559 with or without the modifier -50 is incorrect because these are the codes for a complicated vesiculotomy, unilateral and bilateral

Question 18

A young man is scheduled to have a Mullerian duct cyst removed after it was visualized on a pelvic ultrasound and abdominal MRI. What is the correct CPT code for this excision?

Accepted Answer

55680 is the correct code for the excision of the Mullerian duct cyst.
Codes 55600 and 55605 are incorrect codes because both of these are for vesiculotomy. Code 55650 is incorrect because this is used for vesiculectomy.

Question 19

A 70-year-old man is going to have a direct vesiculectomy performed on the right seminal vesicle. What is the correct CPT code for this procedure?

Accepted Answer

55650 is the correct code for unilateral vesiculectomy.
Code 55600 is incorrect because this code is for vesiculotomy. Code 55605 is incorrect because this code is for a complicated vesiculotomy. Code 55680 is incorrect because this code is for the excision of a Mullerian duct cyst

Question 20

A 65-year-old man has a growth on his prostate. He is scheduled for a needle biopsy to identify the growth. What CPT code should be used for this type of a biopsy?

Accepted Answer

55700 is the correct code for a prostate biopsy performed with a needle.
Code 55705 is incorrect because this biopsy is performed with an incision instead of a needle. Code 55706 is incorrect because this code is for prostate biopsies with needle, transperineal, stereotactic template guided saturation sampling including imaging guidance. Code 55720 is incorrect because this code is for a prostatotomy.

Quiz 2: Series