CPT® Code 55150

Scrotal resection, as described by CPT® Code 55150, is a surgical procedure performed to remove abnormal skin, soft tissue tumors, or excessive lymphatic tissue from the scrotum. This procedure is indicated when there are lesions or other pathological conditions affecting the scrotal area that require surgical intervention. The operation begins with a careful incision made along the boundary between healthy and affected skin, ensuring that the incision is deep enough to reach the dartos fascia, which is a layer of tissue within the scrotum. The surgical field may extend into the inguinal, perineal, and crural regions, depending on the extent of the abnormal tissue. During the procedure, the testes and spermatic cords are meticulously dissected and isolated to prevent damage to these structures. Once the abnormal tissue is excised, it is sent to pathology for further examination, which may involve additional procedures that are reportable separately. After the excision, the tunica vaginalis, a protective layer surrounding the testes, is inverted, and the skin edges are brought together to cover the underlying structures. To ensure proper healing and minimize complications, bleeding is controlled using electrocautery, and a drain may be placed to prevent fluid accumulation. Finally, the incision is closed in layers, starting with the dartos fascia and followed by the skin, to recreate the natural appearance of the scrotal raphe.