AMA CPT® Assistant - 2017 Issue 3 (March)

Surgery: Male Genital System (Q&A) (March 2017)

March 2017 page 10d Surgery: Male Genital System Question: The surgeon first performs an exploration to evaluate the position, size, and structural normality of undescended testis (54550). Then the surgeon proceeds to perform an orchiopexy via inguinal approach. Should the exploration (54550) and the definitive procedure (54640) both be reported? Answer: No, an exploration is only reported as an exploration when a more definitive procedure is not performed during the same session. When the surgeon locates the testis during the exploration and moves the testis into the scrotal sac, the procedure is no longer an exploration, but rather a...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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