Summary & Overview
CPT 55650: Excision of Seminal Vesicles for Lesion or Infection
CPT code 55650 designates excision of the seminal vesicles for a lesion or infection. As a definitive surgical treatment for pathology confined to the seminal vesicles, this procedure is relevant to urology practices, hospital surgical services, and ambulatory surgical centers. Nationwide, accurate coding of this procedure supports appropriate clinical documentation, surgical quality reporting, and payment alignment for complex genitourinary care.
Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context, site-of-service considerations, and common payer coverage patterns. The publication summarizes available benchmarks, outlines typical claims presentation, and highlights policy or billing considerations that affect reimbursement and utilization management for seminal vesicle excision.
This resource is intended for clinicians, coding specialists, and revenue cycle professionals seeking a national view of the code’s clinical meaning, expected service setting, and payer landscape. Data not available in the input will be identified as such in detail sections.
Billing Code Overview
CPT code 55650 describes an excision of the seminal vesicles performed for lesion or infection of the seminal vesicles. This is a surgical procedure that removes one or both seminal vesicles to treat pathology localized to those structures.
Service Type: Surgical procedure (genitourinary/urogenital surgery)
Typical Site of Service: Hospital operating room or ambulatory surgical center
Clinical & Coding Specifications
Clinical Context
A 52-year-old man presents with persistent pelvic pain, hematospermia, and recurrent infections despite targeted antibiotics. Imaging (transrectal ultrasound and pelvic MRI) identifies a focal lesion and chronic inflammatory changes isolated to the seminal vesicle complex. After urology consultation and counseling, the patient is scheduled for excision of the affected seminal vesicle(s) to remove the lesion and control infection.
The clinical workflow includes preoperative evaluation (history, exam, PSA testing if indicated), imaging to localize the lesion, informed consent discussing risks and benefits, anesthesia evaluation, intraoperative excision of the seminal vesicle(s) via open, laparoscopic, or robotic approach, specimen submission to pathology, postoperative monitoring for bleeding, infection, urinary or ejaculatory dysfunction, and outpatient follow-up for wound check and pathology review. Typical sites of service are hospital inpatient or hospital outpatient surgical departments, and ambulatory surgery centers for stable patients undergoing elective excision.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Standard reporting when no modifier applies |
11 |