© Copyright 2025 American Medical Association. All rights reserved.
Vesiculotomy is a surgical procedure that involves the exposure or opening of one or both seminal vesicles, which are glandular structures located behind the bladder and above the prostate. These tubular glands play a crucial role in the male reproductive system by producing components of seminal fluid, which is essential for sperm viability and transport. The anatomy of the seminal vesicles includes an inner layer of secretory cells, a middle layer composed of smooth muscle, and an outer layer of connective tissue. The seminal vesicles connect with the vas deferens to form the ejaculatory duct, which subsequently opens into the prostatic urethra. Conditions affecting the seminal vesicles can lead to various symptoms, including abdominal, pelvic, or penile pain, discomfort during ejaculation or urination, reduced semen volume, and the presence of blood in the semen or urine. The surgical approach for performing a vesiculotomy can be through the retropubic space, which is the area between the pubic symphysis and the bladder, or via a perineal incision, located between the anus and scrotum. In cases where a retropubic incision is made in the lower abdomen, the bladder is typically retracted to provide access to the seminal vesicles for exposure. It is important to note that if a more extensive dissection of the seminal vesicles is necessary, the procedure should be reported using CPT® code 55605. CPT® code 55600 specifically denotes a simple vesiculotomy.
© Copyright 2025 Coding Ahead. All rights reserved.
Vesiculotomy is indicated for various conditions affecting the seminal vesicles. The following symptoms and conditions may warrant this surgical procedure:
The procedure of vesiculotomy involves several key steps to ensure proper access and exposure of the seminal vesicles. The following outlines the procedural steps:
Post-procedure care following a vesiculotomy is essential for optimal recovery. Patients are typically monitored for any immediate complications, such as bleeding or infection. Pain management is provided as needed, and patients may be advised to avoid strenuous activities for a specified period to promote healing. Follow-up appointments are crucial to assess recovery and address any ongoing symptoms or concerns. Additionally, patients may be instructed on signs of complications that warrant immediate medical attention, such as increased pain, fever, or changes in urinary or seminal fluid characteristics.
| Short Descr | VESICULOTOMY | Medium Descr | VESICULOTOMY | Long Descr | Vesiculotomy; | 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 | Office-based surgical procedure added to ASC list in CY 2008 or later without MPFS nonfacility PE RVUs; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 118 - Other OR therapeutic 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). | 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) |
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| 2025-01-01 | Changed | Short Description changed. |
| 2010-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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