2025 CPT code 54522
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Male Genital System Surgery Feed
Partial orchiectomy is the surgical removal of a portion of one or both testicles, preserving as much healthy tissue as possible.
Modifiers may be applicable depending on the circumstances, such as 50 (Bilateral Procedure) if both testicles are involved, or 52 (Reduced Services) under specific circumstances.Always refer to current CPT guidelines.
Medical necessity for partial orchiectomy is established by the presence of a benign testicular lesion causing symptoms or identified incidentally that requires removal. The procedure is considered medically necessary to alleviate symptoms, prevent complications, and preserve as much healthy testicular tissue as possible.
The urologist or surgeon is responsible for performing the partial orchiectomy, including preoperative evaluation, surgical technique, and postoperative care.
In simple words: This surgery removes only part of one or both testicles to treat a non-cancerous growth or cyst, leaving as much healthy tissue as possible.
Partial orchiectomy involves the surgical excision of a portion of one or both testicles, typically performed to address benign testicular tumors or cysts.The procedure aims to conserve healthy testicular tissue while removing the affected area.After appropriate preparation and anesthesia, a midline scrotal incision is made. The external oblique fascia is incised, preserving the ilioinguinal nerve. The testicular vessels and vas deferens are identified, clamped, and divided. The spermatic cord is mobilized, the tunica vaginalis is incised, and the testis and epididymis are explored. The lesion is then precisely excised from the surrounding testicular tissue. Finally, the tunica vaginalis is closed, and a pressure dressing is applied.
Example 1: A 25-year-old male presents with a small, non-tender testicular nodule detected on routine examination.Ultrasound confirms a benign cyst.Partial orchiectomy is performed to remove the cyst while preserving testicular function., A 30-year-old male with a history of bilateral testicular masses less than 2cm and normal tumor markers opts for a partial orchiectomy of the right testicle after frozen section analysis confirms benign histology to preserve fertility and avoid hormone replacement., A 10-year-old boy presents with a testicular mass. Imaging reveals a benign teratoma. Partial orchiectomy is the chosen treatment to remove the tumor while preserving the majority of the testicle and maintaining future reproductive potential.
** Always confirm the correct code selection with current CPT guidelines and payer specific rules.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- RVU: This information is not provided in the source and would require access to a current Relative Value Unit (RVU) database. RVUs vary based on geographic location and payer.
- Global Days: The global surgical period for this procedure would need to be determined based on payer-specific guidelines.It is not consistently defined across all payers.
- Payment Status: Active
- Modifier TC rule: Information on technical component (TC) modifiers is not provided in the source and varies by payer.
- Fee Schedule: Historical fee schedule data for CPT code 54522 is not included in the provided text and would need to be obtained from a fee schedule database.
- Specialties:Urology, Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center