2025 CPT code 54650
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Male Genital System Feed
Orchiopexy, abdominal approach, for intra-abdominal testis (e.g., Fowler-Stephens).
Modifiers may be applicable to this code. Modifier 50 would be used for a bilateral procedure.Modifier 22 is appropriate if the work involved is substantially greater than typically required.
Medical necessity for orchiopexy is established when an undescended testicle has not descended into the scrotum by a certain age, typically 6-12 months.The procedure is necessary to improve the chances of fertility, reduce the risk of testicular cancer, allow for easier self-exam for testicular cancer, reduce the risk of testicular torsion, and correct associated hernias.
The surgeon is responsible for performing the orchiopexy, including locating the undescended testicle, mobilizing the spermatic cord, and securing the testicle in the scrotum.
In simple words: This surgery moves an undescended testicle from the abdomen into the scrotum.The surgeon makes a cut in the belly, finds the testicle, carefully moves it into the scrotum, and then secures it in place. The surgeon then closes the cut.
This procedure involves the surgical fixation of an undescended testicle into the scrotum.The testicle is located within the abdomen.An incision is made in the abdominal area. The surrounding tissues are dissected, and the inguino-abdominal area is examined to locate the testis. The spermatic cord is mobilized to allow proper positioning of the testicle in the scrotum. The testicle is then secured in the scrotum to prevent retraction. Finally, the incision is closed.
Example 1: A 6-month-old male infant is diagnosed with an undescended testicle located within the abdomen. Orchiopexy, abdominal approach (54650) is performed., A 12-month-old male infant has a nonpalpable testicle. Diagnostic laparoscopy reveals an intra-abdominal testis.Conversion to an open procedure is performed and orchiopexy, abdominal approach (54650) is performed., A 2-year-old male child has one palpable testicle. Imaging studies demonstrate the other testicle located in the abdomen.Orchiopexy, abdominal approach (54650), is performed.
Documentation should include operative report detailing the location of the testis, the surgical approach used, and any complications encountered. Preoperative imaging studies confirming the location of the testis should also be documented. Postoperative follow-up confirming the location of the testicle in the scrotum should be maintained.
- Specialties:Urology, Pediatric Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center