CPT® Code 55100

The procedure described by CPT® Code 55100 refers to the drainage of a scrotal wall abscess, which is a localized collection of pus within the scrotal wall. The scrotum, a pouch of skin that houses the testes, is made up of various layers, including skin and a network of nonstriated muscle fibers known as the dartos or scrotal fascia. An abscess in this area typically arises due to infection, leading to the accumulation of pus that can cause pain, swelling, and discomfort. During the procedure, the surgeon makes an incision in the skin of the scrotum at the site where the abscess is most prominent, often characterized by fluctuance, which indicates the presence of fluid. The abscess is then accessed, and any compartments within it are carefully broken apart using blunt dissection techniques to facilitate complete drainage. Following the drainage, the cavity is thoroughly irrigated with sterile saline or an antibiotic solution to reduce the risk of further infection. Depending on the clinical situation, the incision may be left open and packed with gauze to promote healing or a drain may be placed to allow for continued drainage of any residual fluid. In some cases, the incision may be closed if deemed appropriate. This procedure is essential for alleviating symptoms and preventing complications associated with scrotal wall abscesses.