CPT® Code 55500

The procedure described by CPT® Code 55500 refers to the excision of a hydrocele of the spermatic cord, which is a surgical intervention performed unilaterally and classified as a separate procedure. A hydrocele is a fluid-filled sac surrounding a testicle, often resulting in swelling in the scrotum. The excision is typically conducted through an inguinal incision, which is a common approach for accessing the spermatic cord. During the procedure, the surgeon makes a transverse incision in the skin, which is then extended through the subcutaneous tissue to reach the external oblique aponeurosis. This allows for the opening of the inguinal canal, where the ilioinguinal nerve is identified and isolated to prevent nerve damage during the surgery. The surgical exploration continues until the spermatic cord is located, followed by careful dissection to separate it from the surrounding muscle fibers. The hydrocele sac is then meticulously elevated and dissected away from the spermatic cord structures, ensuring that the spermatic vessels and vas deferens are preserved. The procedure concludes with the transection of the sac, ligation, and closure of the surgical site, which includes the spermatic fascia, external oblique muscle, and skin. This detailed approach is essential for effective treatment while minimizing complications and ensuring proper recovery.