CPT® Code 55180

Scrotoplasty is a surgical procedure aimed at reconstructing or reshaping the scrotum, which is the pouch of skin that contains the male reproductive organs, including the testes. This procedure can be performed for various reasons, including cosmetic enhancements to remove excess skin resulting from aging, trauma, or injury. Additionally, scrotoplasty is indicated for the repair of congenital defects, such as penoscrotal webbing, where the scrotum is abnormally attached to the penis. It is also a critical component of gender reassignment surgery for individuals transitioning from female to male, where the anatomy is altered to create a scrotum-like structure. The scrotum itself is a dual-chamber sac composed of skin and muscle, and it plays a vital role in protecting the testes and regulating their temperature. In cases of simple scrotoplasty, the procedure involves making an incision along the perineal raphe, removing excess tissue, and suturing the incision closed. However, complicated scrotoplasty, which is classified under CPT® Code 55180, involves more intricate surgical techniques, such as making incisions along the penoscrotal junction to free the penis from attached scrotal tissue, followed by the removal of excess tissue and closure of the incisions. This procedure may also involve the use of tissue expanders in preparation for the placement of silicone testicular prosthetic implants during gender reassignment surgery.