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Corpora cavernosography is a specialized radiological procedure that focuses on the evaluation of the corpora cavernosa, which are two cylindrical structures located within the penis that play a crucial role in erectile function. This procedure involves the injection of a contrast medium directly into the corpora cavernosa, allowing for detailed imaging of these structures and the associated venous drainage. The primary goal of cavernosography is to assess the anatomy and any potential abnormalities within the corpora cavernosa, which may include issues related to blood flow or structural integrity. The procedure is performed under the supervision of a radiologist, who is responsible for overseeing the injection of the contrast medium and interpreting the resulting radiographic images. The use of a 19-22 gauge needle for the injection is standard practice, ensuring that the contrast medium is delivered effectively into the tissue. Radiographic images are captured from multiple angles, specifically anterior/posterior and lateral/oblique views, to provide a comprehensive assessment of the area. This detailed imaging is essential for diagnosing conditions that may affect erectile function and guiding further treatment options.
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The procedure of corpora cavernosography is indicated for various clinical scenarios where detailed evaluation of the corpora cavernosa is necessary. The following conditions may warrant this procedure:
The procedure of corpora cavernosography involves several critical steps to ensure accurate imaging and assessment of the corpora cavernosa. The following procedural steps are performed:
After the completion of the corpora cavernosography, the patient may be monitored for a short period to ensure there are no immediate adverse reactions to the contrast medium. It is common for patients to experience mild discomfort at the injection site, which typically resolves quickly. The radiologist's interpretation of the images will be documented and communicated to the referring physician, who will discuss the results with the patient and determine any necessary follow-up actions or treatments based on the findings. Patients are generally advised to avoid strenuous activities for a short period following the procedure to allow for proper recovery.
| Short Descr | X-RAY EXAM OF PENIS | Medium Descr | CORPORA CAVERNOSOGRAPY RS&I | Long Descr | Corpora cavernosography, radiological supervision and interpretation | Status Code | Carriers Price the Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 0 - No 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) | 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 | T-Packaged Codes | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 4 - Diagnostic Radiology | Berenson-Eggers TOS (BETOS) | I1F - Standard imaging - other | MUE | 1 | CCS Clinical Classification | 226 - Other diagnostic radiology and related techniques |
| 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | 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). | TC | Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician |
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