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The procedure described by CPT® Code 54670 refers to the surgical intervention for the suture or repair of a testicular injury. This procedure is typically indicated when there is a traumatic injury to the testis, which may be either closed or open. In cases of closed injuries, the surgeon makes an incision in the scrotum to access the testis. The tunica vaginalis, which is the protective layer surrounding the testis, is opened to expose the testis for further evaluation. If the injury involves an open wound to the testis, the surgeon will explore and possibly enlarge the wound to adequately assess the extent of the damage. During the procedure, the testis, spermatic cord, and tunica vaginalis are thoroughly irrigated to cleanse the area and remove any contaminants. The surgeon inspects these structures for signs of injury, and if there is a suspicion of vascular damage, an incision is made in the tunica albuginea, the fibrous covering of the testis, to evaluate blood flow. In cases where the injury has led to the extrusion of testicular contents, the contaminated seminiferous tubules are carefully excised through sharp dissection and debridement. After assessing and repairing the injury, the tunica albuginea is sutured closed. The tunica vaginalis may either be closed or left open, with the option of placing a drain if necessary. If the tunica vaginalis is closed, the closure extends to the scrotal fascia and skin, ensuring that the surgical site is properly sealed to promote healing.
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The procedure associated with CPT® Code 54670 is indicated for the following conditions:
The procedure for the suture or repair of testicular injury involves several critical steps:
Post-procedure care following the suture or repair of a testicular injury involves monitoring for any signs of complications, such as infection or hematoma formation. Patients may be advised to avoid strenuous activities and heavy lifting during the recovery period to promote healing. Follow-up appointments are typically scheduled to assess the healing process and ensure that the testis is recovering appropriately. If a drain was placed, it will be monitored and removed as indicated based on the clinical situation. Pain management and wound care instructions will also be provided to support the patient's recovery.
| Short Descr | REPAIR TESTIS INJURY | Medium Descr | SUTURE/REPAIR TESTICULAR INJURY | Long Descr | Suture or repair of testicular injury | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - 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 | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5E - Ambulatory procedures - other | MUE | 1 | CCS Clinical Classification | 118 - Other OR therapeutic procedures, male genital |
| 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 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). | 54 | Surgical care only: when 1 physician or other qualified health care professional performs a surgical procedure and another provides preoperative and/or postoperative management, surgical services may be identified by adding modifier 54 to the usual procedure number. | 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. | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| Pre-1990 | Added | Code added. |
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