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orchiopexy for intermittent testicular torsion

Karen Posted Fri 01st of May, 2020 14:39:55 PM
One of my physicians asked me this question: "Pt presented with t a history consistent with intermittent torsion. He elected to have bilateral orchiopexy. How should this be coded?" I found the article published on 11/6/2008 that says to use 54620-50 for fixation of testis which are not torsed at the time of the procedure. Is this still the correct way to code this? Would the dx be N44.00 and Z41.8 if he is not experiencing pain at the time of surgery? Thank you
SuperCoder Answered Mon 04th of May, 2020 07:53:23 AM

Thank you for your Question.


The CPT® code 54620 is for the fixation of the testis (referring to an article published on 11/6/2008). As per the above-stated documentation, the physician elected to perform bilateral orchiopexy. In that case, CPT® code 54640 or 54650 seems appropriate. Since, both the codes are for Orchiopexy and are approach based. Also note, if performed bilaterally, append modifier 50 along with the procedure code.


You are advised to kindly correlate with your detailed operative report for the actual procedure performed.


Regarding the Dx code N44.00, this diagnosis is for Torsion of testis, unspecified. Always bill the diagnosis that are definitive or as per the post-operative diagnosis mentioned in the detailed operative note.


Hope that helps!


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