CPT® Code 54535

Radical orchiectomy, also known as orchidectomy, is a surgical procedure performed to remove one or both testicles, typically due to the presence of a known or suspected tumor. This procedure is executed through an inguinal incision, which is a cut made in the groin area. The incision is generally 4-6 cm in length and is positioned superior to the pubic bone, running parallel to the inguinal ligament on the side where the tumor is located. The surgery involves several critical steps, including the dissection of the spermatic cord and the removal of the testis, along with any associated structures. In the case of CPT® Code 54535, the procedure is further extended to include an abdominal exploration, which allows the surgeon to examine the abdominal cavity for any signs of tumor spread. This exploration is crucial for determining the extent of the disease and planning any additional treatments, such as lymphadenectomy, if necessary. The procedure is performed under sterile conditions, and meticulous attention is given to achieve hemostasis and ensure proper closure of the surgical site to promote healing and reduce the risk of complications.