CPT® Code 54660

The procedure described by CPT® Code 54660 involves the insertion of a testicular prosthesis, which is a medical intervention performed to replace a missing testis. This procedure is classified as a separate procedure, meaning it is distinct from the removal of the testis itself. The insertion can be accomplished through two primary surgical approaches: the inguinal incision and the suprascrotal incision. The inguinal approach involves making an incision in the skin over the oblique muscle, allowing the surgeon to access the scrotal neck and the previous tunnel where the testis was located. The surgeon carefully dissects any adhesions to facilitate the insertion of the prosthesis. In contrast, the suprascrotal approach requires an incision made above the scrotum, where blunt dissection is performed to create a pouch for the prosthesis. This procedure is essential for patients who have undergone orchiectomy or have experienced testicular loss due to trauma or other medical conditions, providing both cosmetic and psychological benefits.