In simple words: This code covers a keyhole surgery to move a testicle that hasn't descended into the scrotum during development.A small camera and instruments are used to locate the testicle in the abdomen, free it up, and carefully move it to its correct place in the scrotum.

This CPT code describes a laparoscopic surgical procedure to reposition an undescended testis (orchiopexy) located within the abdomen (intra-abdominal) into its normal position in the scrotum.The procedure involves creating small incisions in the abdomen, inserting a laparoscope and other instruments, identifying and mobilizing the testis and spermatic cord, and then pulling the testis into the scrotum, securing it in place to prevent retraction.The incisions are then closed.

Example 1: A 6-month-old male infant presents with a non-palpable right testicle.Laparoscopic exploration reveals an intra-abdominal testis.54692 is used to bill for the laparoscopic orchiopexy., A 2-year-old boy has a right intra-abdominal testis diagnosed prenatally. The urologist performs a laparoscopic orchiopexy. 54692 is billed for this., An adolescent male has an undescended testicle which is determined to be intra-abdominal via physical exam and imaging. The surgeon decides to perform a laparoscopic orchiopexy.Code 54692 applies.

Preoperative imaging (ultrasound), operative report detailing the laparoscopic approach, identification of the intra-abdominal testis, mobilization techniques used, successful placement of the testis into the scrotum, and closure technique. Postoperative notes documenting the patient's recovery and any complications.

** This procedure may be performed as a single-stage or two-stage procedure depending on the surgeon's preference and the position of the testis.Two-stage procedures involve an initial laparoscopic step to prepare the spermatic vessels, followed by a later procedure (either laparoscopic or open) to complete the orchiopexy.