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CPT 55605: Incision and Drainage of Seminal Vesicle Abscess, Complex Dissection
CPT code 55605 represents a surgical incision and drainage of a seminal vesicle abscess with complex dissection, a procedure used to evacuate infected collections when conservative therapy is inadequate. Nationally, this code is relevant for surgical urology services delivered in hospital operating rooms and, when appropriate, outpatient surgical centers. It captures higher-complexity operative encounters where scar tissue or prior surgery increases technical difficulty and resource use.
Key payers evaluated include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a clinical and billing-focused overview of the procedure, typical sites of care, and the coding context for claims processing. The publication outlines common modifiers and payer coverage patterns, summarizes expected documentation elements for medical necessity, and highlights areas where variation in payment or prior authorization practices most often occurs.
This summary is intended for revenue cycle leaders, surgical urology practices, and policy analysts who need a concise reference to the code’s clinical meaning, billing implications, and the operational considerations that affect nationwide reimbursement and utilization.
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Billing Code Overview
CPT code 55605 describes a surgical procedure in which the provider performs an incision of the seminal vesicles to drain an abscess or localized pocket of infection. The procedure involves complex dissection due to scar tissue in the operative field.
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Service type: Surgical drainage with complex dissection
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Typical site of service: Operative suite, inpatient or outpatient hospital surgical setting