Results 1 to 3 of 3

Testicular Torsion

  1. Default Testicular Torsion
    New Call-to-action
    Patient had a surgical torsion of right testis done, with an orchiopexy of both testicles. These were descended testicles with scrotal approach. Am I correct that 54600 covers all?

  2. #2
    Portland Rose City Oregon Chapter
    In the above scenario, you are correct, 54600 will cover the detorsion and orchiopexy of both testicles. Per CCI Edits, 54600 can never be billed with 54620.

    By contrast, CPT 54620 is used if the patient returns at a later date to have the contralateral testis pexed, or if it is done with another procedure (like an orchiectomy on the other side). 54620 can also be used if the orchiopexy is done when the patient is not experiencing symptoms. For example, the patient comes in for bilateral orchiopexy for recurrent torsion of the testis, but is not currently exhibiting symptoms of torsion. In this instance, the reporting of the detorsion with 54600 would be incorrect. For this scenario, you would report 54620-50.

    If the orchiopexy is for an undescended testicle rather than torsion, you would use 54640.

    Hope this helps.


    Drew Vinson
    NW Urology
    Last edited by drewvinson23; 09-05-2018 at 01:11 PM.

  3. Default
    It helps a lot. Thank you for the clarification!

Similar Threads

  1. Meatotomy w/penile torsion
    By lcole7465 in forum Urology
    Replies: 0
    Last Post: 12-18-2017, 11:19 AM
  2. Penile torsion
    By seslinger in forum Urology
    Replies: 2
    Last Post: 05-17-2012, 08:23 AM
  3. Ovarian torsion
    By pamfaulkner318 in forum OB/GYN
    Replies: 1
    Last Post: 09-08-2011, 09:08 AM
  4. tibial torsion
    By PLAIDMAN in forum Orthopaedics
    Replies: 1
    Last Post: 08-31-2011, 12:55 PM
  5. Right Adenal Torsion
    By tabbsmith in forum OB/GYN
    Replies: 4
    Last Post: 02-17-2011, 04:51 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.