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Colleen Posted Tue 23rd of January, 2018 07:53:39 AM
The surgeon did the following surgery: A transverse scrotal incision was made by holding the testicle up the surface of the right hemiscotum and this incision brought down through the dartos fascia exposing the testicle. This was delivered out through the incision, gubernacular attachments were divided, freeing up the testicle on structure. Testicle itself was inspected as was epididymis. The proximal segment of the epididymis dilated compared to the distal segment therefore this segment was dissected free and the clip that was seen from the previous vasectomy was also identified. A portion of approximately 1-1/2 inches was removed and the ends ligated with 2-0 Vicyrl suture and the ends buried in the fascia. The testicle was then placed back into the hemiscrotum. Hemiscrotum was irrigated copiously with sterile saline. In cision closed in 2 layers closing the dartos with running 3-0 monocryl and the skin with 4-0 monocryl. Scrotal support and fluffs were placed. Are the codes for this 55110 and 55250 or 54860 and 55110 Can scrotal exploration be coded separately?
SuperCoder Answered Wed 24th of January, 2018 07:01:15 AM

As per the presented documentation, appropriate CPT code would be 54860.

 

As per CCI edits, Code 55110 is a column 2 code for 54860, These codes cannot be billed together in any circumstances.

 


So only report CPT code 54860 for the procedure(s) performed.

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