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CPT 55150: Excision of Damaged or Diseased Scrotum
CPT code 55150 designates surgical excision of a damaged or diseased scrotum, a genitourinary procedure performed for tissue compromised by trauma, infection, or other pathological conditions. Nationally, the code represents definitive operative management when nonoperative care is insufficient or when tissue removal is required to control infection or remove necrotic tissue. Use of this code affects surgical case mix, hospital operating room utilization, and post-operative care pathways.
Key payers considered include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication provides clinically focused context for coding and billing, outlines typical sites of service (hospital operating rooms and ambulatory surgical centers), and summarizes common modifier usage provided in input. Readers will find benchmarks for utilization and reimbursement trends where available, discussion of relevant policy or coverage considerations, and clinical notes that clarify when this surgical code applies versus conservative management. Data limitations in the input are noted where applicable; where specific payer policies or diagnosis mappings are not available, the text states that those items are not present in the source input. This material is intended for a national audience of coding specialists, surgical providers, and billing analysts seeking a concise reference on CPT code 55150.
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Billing Code Overview
CPT code 55150 describes the surgical excision of a damaged or diseased scrotum, the pouch that contains the testes, performed when tissue is compromised by trauma, infection, or other conditions. This procedure involves removal of affected scrotal tissue and may include reconstruction as clinically indicated.
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Service type: Surgical procedure, genitourinary surgery
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Typical site of service: Hospital operating room or ambulatory surgical center
Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.