A low inguinal incision made to the top of the left hemiscrotum and dissection proceeded through Scarpa's fascia to the level of the external ring. This was partially opened and the cord structures identified. The left testis was delivered. And the very hard cord vas was palpated. This was followed to the internal ring where it softened and followed distally to the epididymis. The tube was suture ligated at either end and the indurated tube removed there appeared to be inflammatory discharge from the tube. The area area was irrigated and the proximal and distal vas sections injected with Kenalog. Next the tunica vaginalis was opened and the testis examined and found to have good blood supply. In view of this was elected to attempt keeping the testis which was placed back into the left hemiscrotum. The external ring was reconstructed with interrupted 3-0 chromic the Scarpa's reapproximated with 3-0 chromic and the incision closed with 2 layers of 4-0 Monocryl. The entire area was injected with Marcaine 0.5% plain and skin closure completed with Dermabond
Diagnosis and reason for surgery was inflamed epididymis and cord. Pathology was vas deferens, calcification and inflammation, negative for malignancy.
Would this be a vasectomy, 55250 and scrotal exploration 55110 for exploration of testis? Can a vasectomy be coded for reasons other than sterilization? Thank you for any help!
Diagnosis and reason for surgery was inflamed epididymis and cord. Pathology was vas deferens, calcification and inflammation, negative for malignancy.
Would this be a vasectomy, 55250 and scrotal exploration 55110 for exploration of testis? Can a vasectomy be coded for reasons other than sterilization? Thank you for any help!