CPT® Code 74440

1. Indications

The procedure associated with CPT® Code 74440 is indicated for the evaluation of various conditions affecting the male reproductive system. The following are the specific indications for performing this procedure:

• Tumors - The procedure is utilized to identify the presence of tumors within the male reproductive structures.
• Cysts - It helps in detecting cysts that may be present in the vas deferens, seminal vesicles, or epididymis.
• Abscesses - The examination can reveal abscess formations that may require further medical intervention.
• Inflammation - The procedure is indicated for assessing inflammation in the reproductive system, which may indicate underlying pathology.
• Obstruction - It is performed to evaluate any obstructions in the vas deferens or associated structures that could affect fertility.

2. Procedure

The procedure for CPT® Code 74440 involves several critical steps to ensure accurate examination and diagnosis. The following outlines the procedural steps:

• Step 1: Preparation - The patient is positioned appropriately, and the area of the upper scrotum is cleaned and sterilized to minimize the risk of infection. Local anesthesia may be administered to ensure patient comfort during the procedure.
• Step 2: Incision - Small bilateral incisions are made in the upper scrotum to provide access to the vas deferens. These incisions are strategically placed to allow for optimal visualization and manipulation of the reproductive structures.
• Step 3: Catheter Insertion - A needle or small catheter is carefully inserted into the vas deferens. This step is crucial as it allows for the introduction of the contrast medium into the reproductive system.
• Step 4: Contrast Medium Injection - Once the catheter is in place, a radiopaque contrast medium is injected. This medium enhances the visibility of the vas deferens, seminal vesicles, and ejaculatory ducts during imaging.
• Step 5: Imaging and Observation - The flow of the contrast medium is observed using fluoroscopy. The radiologist monitors the movement of the contrast through the reproductive structures, documenting any abnormalities such as blockages or irregularities.
• Step 6: Conclusion of Procedure - After the imaging is complete, the needle or catheter is removed. The incisions made earlier are then closed, typically using sutures or adhesive strips, depending on the surgical technique employed.

3. Post-Procedure

After the completion of the procedure associated with CPT® Code 74440, patients are typically monitored for a short period to ensure there are no immediate complications. Post-procedure care may include instructions on wound care to prevent infection at the incision sites. Patients may be advised to avoid strenuous activities or heavy lifting for a specified period to promote healing. Follow-up appointments may be scheduled to discuss the findings from the procedure and any necessary further evaluations or treatments based on the results obtained from the radiological interpretation.