Procedure: Epididymectomy
Preoperative diagnosis: Scrotal pain, right side
Postoperative diagnosis: Scrotal pain, ride side
Operation description: The patient was placed in the supine position and prepped and draped in the usual manner. A transverse scrotal incision was made and carried down to the tunica vaginalis, which was opened. The tunica vaginalis was opened and the testicle was brought out through this incision. The epididymis was separated off the surface of the testicle using a scalpel. With blunt and sharp dissection, the epididymis was dissected off the testicle. The vessels going to the testicle were preserved without any obvious injury, and a viable testicle was present after the epididymis was removed from this. The testicle was replaced in the scrotum. Skin was closed in two. A dry sterile dressing and compression were applied, and patient was sent to the recovery room in stable condition.
Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The correct CPT code is 54860-RT for the epididymectomy procedure on the right side. The ICD-10-CM code N50.82 is appropriate for scrotal pain, which matches both the preoperative and postoperative diagnoses.

Procedure: Epididymectomy Preoperative Diagnosis: Scrotal Pain, Right Side