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CPT 55680: Excision of Mullerian Duct Cyst, Seminal Vesicle Region
CPT code 55680 represents the surgical excision of a Mullerian duct cyst, an uncommon genitourinary procedure addressing persistent embryologic remnants near the seminal vesicles. Nationally, the code is used to document definitive operative management for symptomatic or complicated Mullerian duct cysts, and it has relevance for surgical specialties that manage male pelvic pathology.
Major payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for when the procedure is performed, the typical care setting, and payer coverage considerations. The publication summarizes benchmark data where available, common billing modifiers associated with operative services, and guidance on documentation elements that support medical necessity. Policy updates and coverage nuances from the major national payers are outlined to help billing, coding, and clinical teams understand authorization and claim adjudication patterns.
This summary aims to clarify the clinical indication and administrative handling of CPT code 55680, offering a national perspective on utilization drivers, coding practice points, and where to look for payer-specific rule variations.
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Billing Code Overview
CPT code 55680 describes the surgical excision of a Mullerian duct cyst, an embryologic remnant that can persist in the region of the seminal vesicles. The procedure involves removal of the cystic structure to address symptoms or complications related to the persistent Mullerian duct tissue.
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Service type: Surgical excision / genitourinary surgery
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Typical site of service: Hospital operating room or ambulatory surgery center, with care focused on the male pelvic/seminal vesicle region