Find policies, billing codes, payers, states, and providers
CPT 54840: Spermatocele Excision with or without Epididymal Head Partial Excision
CPT code 54840 identifies surgical excision of a spermatocele, a benign cystic lesion situated between the epididymis and testis. This code captures procedures that remove the spermatocele with or without partial excision of the head of the epididymis and is used across outpatient and inpatient urologic surgical settings. Nationally, use of this CPT code matters for procedure tracking, surgical quality measurement, and accurate claims processing for urologic services.
Key payers covered in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, guidance on common billing practices, and summaries of payer coverage patterns and benchmarks where available. The publication also outlines typical sites of service and common modifiers associated with surgical codes like this one.
This resource is aimed at billing managers, urology clinicians, and policy analysts who need a clear reference on code intent, service delivery context, and payer considerations for CPT code 54840. Data not available in the input is noted where applicable.
Customize your policy alerts
Sign up for cpt 54840 policy alerts
Get alerted when payer policies referencing 54840 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 54840 describes the surgical removal of a spermatocele, a cyst located between the epididymis and the testis. The procedure may include excision of the spermatocele with or without partial excision of the head of the epididymis.
-
Service type: Surgical excision of scrotal cyst (urologic outpatient or inpatient procedure)
-
Typical site of service: Ambulatory surgical center or hospital operating room; may also be performed in an outpatient urology clinic with appropriate facilities