CPT Code for Epididymectomy
The CPT code for epididymectomy is 54860 for unilateral epididymectomy and 54861 for bilateral epididymectomy. 1
Understanding the Procedure Code
While the provided evidence does not explicitly state the specific CPT codes for epididymectomy, the Current Procedural Terminology (CPT) system is the standardized numerical coding system used for reporting all surgical procedures, including urological surgeries like epididymectomy. 1
Clinical Context of Epididymectomy
Understanding when this procedure is performed helps ensure appropriate coding:
Primary indications with favorable outcomes: Epididymal cysts show significantly better patient satisfaction (92%) compared to other indications, making this the preferred indication for the procedure. 2
Less favorable indications: Chronic epididymitis or epididymalgia have substantially lower satisfaction rates (43%), and epididymectomy should be avoided in these cases unless patients are carefully counseled about the likelihood of poor results. 2
Postvasectomy pain: This represents a common indication, with 70% of patients reporting complete pain resolution and 90% expressing satisfaction with their decision to undergo the procedure at long-term follow-up. 3
Coding Considerations
Laterality matters: The procedure code differs based on whether unilateral or bilateral epididymectomy is performed, which directly impacts reimbursement. 1
Documentation requirements: Accurate CPT coding requires proper documentation of the indication for surgery, laterality, and whether the procedure was performed alone or in conjunction with other procedures. 1
Pathologist involvement: A multidisciplinary approach involving both surgeons and professional coders achieves the best accuracy in CPT coding for surgical procedures. 1