Urology Coding Alert

Reader Question:

Differentiate Simple and Partial Orchiectomy

Question: What is the difference between a simple orchiectomy and partial orchiectomy? I don't know when to use 54520 versus 54522. Texas Subscriber Answer: Simple orchiectomy involves the removal of one or both testicles at the distal spermatic cord, usually through an anterior trans-scrotal approach. You would code this procedure using 54520 (Orchiectomy, simple [including subcapsular], with or without testicular prosthesis, scrotal or inguinal approach). A partial orchiectomy preserves the testicle in a patient who has a tumor that can be removed without removing the organ. A partial orchiectomy is technically more sophisticated than a radical orchiectomy. For a partial orchiectomy you'll report 54522 (Orchiectomy, partial). Pitfall: Don't be tempted to report a partial orchiectomy by using 54520 with modifier 52 (Reduced service) appended. Before CPT introduced 54522 in 2001 that was your only coding option for a partial orchiectomy, but now you should use 54522.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Urology Coding Alert

View All