tci Outpatient Facility Coding Alert - 2013 Issue 8

Reader Question: Discern Location for Scrotum and Epididymis Surgery

Question: What is the difference between 54700 and 55100? Answer: In 54700 (Incision and drainage of epididymis, testis and/or scrotal space [eg, abscess or hematoma]), the surgeon examines the scrotum and scrotal space for location of the fluid collection. Then, the scrotum is incised and abscess or hematoma is located in the scrotal space and using blunt dissection pus is drained. If the location of fluid is in the testis, then the epididymis is positioned away and a small incision is made through the skin of the scrotum. The underlying tissues and tunica vaginalis is opened and incised, which...

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