Cpt Code For Manual Detorsion Of Testicle

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Need some help with this report. Codes 54520-RT 54640-LT This is the problem. Doc states 54640 was not performed inguinal approach and should not be billed this way. He would like to bill 54620 on LT.

Cpt Code For Manual Detorsion Of Testicle Testicular torsion refers to the torsion of the spermatic cord structures and subsequent loss of the blood supply to the ipsilateral testicle. This is a urological. Testicular salvage drops rapidly from 80 to 100% at 6 to 8 h to near zero at 12 h. Fixation of the contralateral testis is also done to prevent torsion on that side. When manual detorsion is successful, bilateral testicular fixation is done electively. With ultrasound guidance, manual detorsion was performed by Dr. Bechtel and vascular flow was restored. The radiology attending of report was present for the entire duration. However the spermatic cord was seen still to be twisted. IMPRESSION: Torsion of the left testicle. Detorsion was performed with restoration of vascular flow. Testicular torsion is an emergency condition due to rotation of the testis and consequent strangulation of its blood supply. Symptoms are acute scrotal pain and swelling, nausea, and vomiting. Diagnosis is based on physical examination and confirmed by color Doppler ultrasonography. Treatment is immediate manual detorsion followed by surgical intervention.

Any help with this would be appreciated. Your doctor is correct. The documentation does not support coding for 54640 - inguinal orchiopexy. Correct coding should be 54520-RT, 54620-LT. (ICD-9 codes 608.89 for testicular atrophy/necrosis and 608.20 testicular torsion.) An inguinal orchiopexy is used for treatment of an undecended testicle with the testicle located in the groin area. The physician must move the testicle down from the groin and to the scrotum and them fix it in place to prevent it from retracting back into the groin. This can also be done abdominally if the testicle is located higher up in the abdomen, in which case the CPT 54650 would be used.

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Cpt Code For Manual Detorsion Of Testicle

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Cpt Code For Manual Detorsion Of Testicle

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