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Dynamic cavernosometry is a specialized diagnostic procedure used to assess the vascular pressure within the corpus cavernosum, which is essential for achieving and maintaining an erection. This procedure involves the use of vasoactive drugs, such as papaverine or phentolamine, which are injected directly into the corpora to induce relaxation of the arterial and sinusoidal tissues. The process begins with the administration of a local anesthetic to minimize discomfort during the procedure. A fine needle, typically ranging from 27 to 30 gauge, is employed to inject the vasodilatory agent, facilitating the necessary physiological response. Following this, a larger 19-gauge butterfly needle is inserted into the corpus cavernosum at a precise vertical angle relative to the penile axis, allowing for adequate movement during the erection phase. A perfusion pump is then connected to this needle, delivering normal saline into the tissue until an erection is achieved. Throughout the procedure, the vascular pressure is continuously monitored, with the goal of reaching approximately 150 mm/Hg. Once this pressure is attained, the infusion of saline is halted, and the pressure within the cavernosum is measured. A rapid decrease in pressure, along with the loss of erection, may indicate potential vascular leakage, providing critical information for further evaluation and management of erectile dysfunction.
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The procedure of dynamic cavernosometry is indicated for the evaluation of erectile dysfunction, particularly in cases where the underlying cause is suspected to be vascular in nature. This diagnostic test is typically performed when other non-invasive assessments have not provided sufficient information to determine the etiology of the erectile dysfunction. The following conditions may warrant the use of dynamic cavernosometry:
The dynamic cavernosometry procedure involves several critical steps to ensure accurate measurement of vascular pressure within the corpus cavernosum. Each step is designed to facilitate the assessment of erectile function effectively.
After the completion of dynamic cavernosometry, patients may experience temporary discomfort or bruising at the injection sites. It is important for healthcare providers to monitor the patient for any immediate complications, such as excessive bleeding or signs of infection. Patients are typically advised to refrain from sexual activity for a specified period following the procedure to allow for recovery. Follow-up appointments may be scheduled to discuss the results of the procedure and to determine the next steps in the management of erectile dysfunction based on the findings.
| Short Descr | DYNAMIC CAVERNOSOMETRY | Medium Descr | DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS | Long Descr | Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 116 - Diagnostic procedures, male genital |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GA | Waiver of liability statement issued as required by payer policy, individual case |
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| 1994-01-01 | Added | First appearance in code book in 1994. |
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