CPT® Code 54230

Cavernosography is a specialized diagnostic procedure that involves the use of imaging techniques to evaluate the anatomy and function of the corpora cavernosa, which are two cylindrical structures located within the penis that play a crucial role in erectile function. The procedure entails the injection of a contrast medium directly into the corpora cavernosa, allowing for detailed radiographic examination of both the corpora cavernosa and the associated venous drainage structures. This is achieved by inserting a needle, typically ranging from 19 to 22 gauge, into the tissue of the corpora cavernosa, specifically at the dorsal lateral aspect near the base of the glans penis. Once the contrast medium is injected, radiographic images are captured from two distinct angles—anterior/posterior and lateral/oblique—to visualize the flow of the contrast through the vascular channels. The procedure is designed to assess the integrity and functionality of the corpora cavernosa and the veins that facilitate blood drainage, which is essential for diagnosing various erectile dysfunction conditions. It is important to note that this CPT® code specifically pertains to the injection procedure itself, while the supervision and interpretation of the radiographic images are billed separately by the radiologist.