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CPT 54692: Laparoscopic Orchiopexy for Intra‑abdominal Undescended Testis
CPT code 54692 represents a laparoscopic orchiopexy performed to move an intra‑abdominal undescended testis into the scrotum. This minimally invasive pediatric/urologic surgical procedure is significant nationally because cryptorchidism is a common congenital condition and timely surgical management affects fertility and malignancy risk, making coding accuracy and coverage policy important for providers and payers.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for laparoscopic management of intra‑abdominal testes, common billing and site‑of‑service considerations, and typical payer approaches to coverage and prior authorization. The publication outlines benchmarking considerations and highlights where policy updates commonly arise around age thresholds, laterality reporting, and abandonment versus completion of orchiopexy when intraoperative findings differ.
This report is intended for a national audience of billing professionals, surgical providers, and payer policy teams seeking concise guidance on coding, clinical indications, and the payer landscape for laparoscopic orchiopexy of intra‑abdominal testes. Data not available in the input are noted where applicable.
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Billing Code Overview
CPT code 54692 describes a laparoscopic orchiopexy for an intra–abdominal undescended testis. The procedure involves the use of a laparoscope to locate and mobilize an intra‑abdominal testis and bring it into the scrotum.
Service type: Laparoscopic surgical procedure for undescended testis (orchiopexy)
Typical site of service: Hospital outpatient department or ambulatory surgery center, where laparoscopic pediatric or urologic surgical procedures are performed.