CPT® Code 54680

The procedure described by CPT® Code 54680 involves the surgical transplantation of one or both testes to the thigh, specifically indicated for cases where there has been destruction of the scrotum. This surgical intervention is crucial for preserving testicular function and fertility when the scrotal environment is compromised. The transplantation process begins with the creation of small skin incisions in the thigh, which are strategically placed at the level of the scrotum to facilitate access. Through careful dissection, a superficial subcutaneous pouch is formed, allowing for the placement of the testis. A tunnel is then created extending to the perineum, which is essential for the safe descent of the spermatic cord into the pouch without causing any traction or torsion that could jeopardize the testis. The testis is delicately maneuvered through this tunnel into the thigh pouch and is secured in place using absorbable sutures to ensure stability. After the testis is positioned, the skin incision in the thigh is closed, completing the transplantation. If necessary, this procedure can be performed on the contralateral side to address any additional testicular preservation needs. It is important to note that any treatment for the scrotal injury itself may be reported separately, as it is considered a distinct procedure.