How To Use CPT Code 54830

CPT 54830 describes the excision of a local lesion of the epididymis. 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 54830?

CPT 54830 is used to describe the excision of a local lesion of the epididymis. This code is used when a healthcare provider removes a specific area of damaged or diseased tissue from the epididymis, which is a highly tubular duct behind the testis.

2. Official Description

The official description of CPT code 54830 is: ‘Excision of local lesion of epididymis.’

3. Procedure

1. The patient is appropriately prepped and anesthetized.
2. The healthcare provider stretches the scrotal skin to expose the epididymis.
3. An incision is made in the scrotal skin and underlying tissues to access the epididymis.
4. The provider isolates the lesion by placing stabilizing sutures on either side of it.
5. The lesion is excised from the epididymis.
6. The provider closes the epididymis by suturing from both sides of the excised lesion.
7. The scrotal incision is closed.

4. Qualifying circumstances

CPT 54830 is performed when there is a local lesion in the epididymis that requires excision. This procedure is typically done to remove damaged or diseased tissue. It is important to correctly identify the location of the lesion to ensure accurate code selection.

5. When to use CPT code 54830

CPT code 54830 should be used when a healthcare provider performs the excision of a local lesion in the epididymis. It is important to ensure that the lesion is specifically located in the epididymis and not in the subcutaneous tissues. If the lesion is within the subcutaneous tissues, different codes should be used.

6. Documentation requirements

To support a claim for CPT 54830, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for excision of the epididymal lesion
• Details of the procedure, including the location and size of the lesion
• Date of the procedure
• Any complications or additional procedures performed
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 54830, ensure that the excision is performed on a local lesion of the epididymis. It is important to accurately document the procedure and provide the necessary supporting documentation. There are no specific guidelines regarding reporting CPT 54830 with other codes.

8. Historical information

CPT 54830 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 healthcare provider performs the excision of a local lesion in the epididymis for a patient with chronic epididymitis.
2. During a surgical procedure, a healthcare provider removes a specific area of damaged tissue from the epididymis for a patient with a spermatic granuloma.
3. A patient undergoes the excision of a local lesion in the epididymis to alleviate testicular pain caused by extravasation of sperm.
4. A healthcare provider performs the excision of a local lesion in the epididymis for a patient who has developed a cyst in that area.
5. During a vasectomy reversal surgery, a healthcare provider excises a local lesion in the epididymis to restore fertility for a patient.