CPT® Code 54800

A needle biopsy of the epididymis is a minimally invasive procedure that involves the extraction of tissue samples from the epididymis, which is a coiled tube located at the back of the testis responsible for storing and maturing sperm. This procedure is typically performed under local anesthetic, allowing the patient to remain awake and comfortable while minimizing pain. The patient is positioned supine, meaning they lie on their back, which facilitates access to the scrotum. Prior to the biopsy, the scrotum is carefully prepared and draped to maintain a sterile environment, reducing the risk of infection.

During the procedure, the surgeon palpates the testis within the scrotal sac to locate the epididymis, which is then stabilized using the surgeon's index finger and thumb. This stabilization is crucial for accurate needle placement. The scrotal skin is stretched tightly to create a clear pathway for the needle, and a small incision is made with a scalpel to allow access to the epididymal tissue. A spring-loaded needle is then utilized to penetrate the incision and collect tissue samples from the epididymis. These samples are critical for further analysis, as they are sent to a pathologist who examines them for the presence of cancerous or abnormal cells. This examination is conducted as a separate reportable procedure, emphasizing the importance of the biopsy in diagnosing potential health issues related to male reproductive health.