Urology Coding Alert

Reader questions:

Skip Exploration With Excision Coding

Question: Our urologist did a scrotal exploration via an inguinal incision for a paratesticular mass followed by an excision of a 6-cm mass. How do I code for this procedure?

Florida Subscriber

Answer: You should code report 54512 (Excision of extraparenchymal lesion of testis) for the excision of a paratesticular mass. The exploration would be contained within this specific code and would not be a separately billable service.

For the diagnosis, use 239.5 (Neoplasms of unspecified nature, other genitourinary organs).

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