2025 CPT code 55300
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Male Genital System Surgery Feed
Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral.
Modifiers 51 (Multiple Procedures), 76 (Repeat Procedure), and 22 (Increased Procedural Services) may be applicable depending on the circumstances of the procedure.
Medical necessity for this procedure is established when there is clinical suspicion of vas deferens obstruction contributing to infertility.This is often based on semen analysis, physical exam findings, and patient history.
The physician makes an incision in the scrotum, incises the vas deferens, injects contrast media, performs radiological studies, irrigates the area, checks for bleeding, removes instruments, and closes the incision.
In simple words: The doctor makes a small cut in the scrotum to examine the tubes that carry sperm.A special dye is injected to help with the X-ray images. This is done to check for blockages that could affect fertility. The cut is then closed.
This procedure involves incising the vas deferens to allow for radiological examination (vasogram, seminal vesiculogram, or epididymogram) to identify potential blockages affecting fertility.The incision is made in the scrotum, and contrast media is injected. After the radiological studies, the area is irrigated, bleeding is checked, instruments are removed, and the incision is closed. The procedure can be performed unilaterally or bilaterally.
Example 1: A 35-year-old male presents with infertility.A vasogram is ordered to evaluate for potential vas deferens obstruction. The physician performs a vasotomy to facilitate the vasogram., A 40-year-old male is undergoing a workup for infertility.Both vas deferens are incised to allow for bilateral vasography and seminal vesiculography., A 30-year-old male with a history of vasectomy reversal presents with persistent infertility. The surgeon performs a vasotomy to facilitate an epididymogram to assess patency.
* Pre-operative and post-operative patient assessment notes* Consent form for the procedure* Detailed operative report including description of incision, contrast injection, radiological findings, and closure technique* Pathology report (if applicable)* Imaging reports (vasogram, seminal vesiculogram, epididymogram)* Anesthesia record* Medical necessity documentation outlining the reason for the procedure
** This procedure is typically performed under local anesthesia.The choice of unilateral or bilateral approach depends on the clinical indication.
- Revenue Code: I1F (STANDARD IMAGING - OTHER)
- RVU: unknown
- Global Days: unknown
- Payment Status: Active
- Modifier TC rule: unknown
- Fee Schedule: unknown
- Specialties:Urology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center