CPT® Code 55200

The CPT® Code 55200 refers to a surgical procedure known as vasotomy, which involves the cannulization of the vas deferens, either with or without an incision. This procedure can be performed unilaterally (on one side) or bilaterally (on both sides) and is classified as a separate procedure. In the context of this procedure, a vasotomy with incision entails making a small incision in the skin of the scrotum to access the vas deferens. The surgeon palpates the scrotum to locate the vas deferens, which is then brought into the operative field. A straight clamp is placed beneath the vas deferens, and a hemi-vasotomy incision is created using an operative microscope and a micro-knife, with the clamp providing a stable platform for the incision. Fluid is extracted from the vas deferens through this incision, which can be analyzed either in the operating room or sent to a laboratory for further examination. In cases where the vasotomy is performed without an incision, the procedure involves locating a straight segment of the vas deferens and carefully inserting an angiocath or lymphangiogram needle into the vasal lumen to aspirate fluid. This fluid can also be examined microscopically or sent for laboratory analysis. After the procedure, the needle is withdrawn, and pressure is applied to the puncture site to control any bleeding. If both sides of the vas deferens are to be evaluated, the entire procedure is repeated on the opposite side. This detailed description highlights the technical aspects of the vasotomy procedure, emphasizing the careful handling and examination of the vas deferens to ensure accurate results and patient safety.