How To Use CPT Code 54660

CPT 54660 describes the insertion of a testicular prosthesis in a separate procedure. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 54660?

CPT 54660 can be used to describe the insertion of a testicular prosthesis in a separate procedure. This code is used when a provider surgically places an artificial testicle, such as a silicone or saline implant, through a small incision in the groin. The prosthesis is then fixed to the inside wall of the scrotum to prevent rotation and the incision is closed with sutures.

2. Official Description

The official description of CPT code 54660 is: ‘Insertion of testicular prosthesis (separate procedure).’ If the procedure is performed bilaterally, modifier 50 should be appended to the code.

3. Procedure

1. The provider prepares the patient and administers anesthesia.
2. An incision is made in the groin and the scrotal sac is dilated.
3. The provider inserts the testicular prosthesis, such as a silicone or saline implant, through the small incision in the groin.
4. The upper part of the scrotum is closed with stitches to prevent the prosthesis from moving up into the groin.
5. The prosthesis is fixed to the inside wall of the scrotum to prevent rotation.
6. The incision is closed with sutures.

4. Qualifying circumstances

CPT 54660 is used when a patient requires the insertion of a testicular prosthesis. This may be due to a missing or injured testicle. The procedure is performed by a provider and requires appropriate prepping and anesthesia.

5. When to use CPT code 54660

CPT code 54660 should be used when a provider performs the separate procedure of inserting a testicular prosthesis. It should not be used for other procedures or services unrelated to the insertion of a testicular prosthesis.

6. Documentation requirements

To support a claim for CPT 54660, the provider must document the following information:

• Reason for the testicular prosthesis insertion
• Details of the procedure, including the incision site and type of prosthesis used
• Date of the procedure
• Any complications or additional procedures performed
• Signature of the provider

7. Billing guidelines

When billing for CPT 54660, ensure that the procedure is performed as a separate procedure and not as part of another surgical procedure. If the procedure is performed bilaterally, modifier 50 should be appended to the code. It is important to follow the specific billing guidelines of the payer to ensure accurate reimbursement.

8. Historical information

CPT 54660 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A patient undergoes the insertion of a testicular prosthesis after the removal of a cancerous testicle.
2. An individual with a congenital absence of a testicle receives a silicone implant to restore symmetry.
3. A patient who experienced trauma resulting in the loss of a testicle undergoes the insertion of a saline-filled prosthesis.
4. A transgender individual undergoes the insertion of a testicular prosthesis as part of their gender-affirming surgery.
5. An individual with testicular atrophy receives a silicone implant to improve their self-esteem and body image.
6. A patient with testicular torsion undergoes the removal of the affected testicle and the insertion of a prosthesis to maintain a natural appearance.
7. An individual with testicular cancer undergoes the removal of one testicle and the insertion of a prosthesis to restore their physical appearance.
8. A patient with a history of testicular trauma receives a testicular prosthesis to improve their quality of life.
9. An individual with a congenital testicular abnormality undergoes the insertion of a prosthesis to improve their self-confidence.
10. A patient with testicular agenesis receives a testicular prosthesis to enhance their body image and overall well-being.