CPT® Code 55870

Electroejaculation is a medical procedure designed to facilitate the collection of motile sperm from men who are unable to achieve ejaculation through natural means, often due to neurological impairments. These impairments may arise from conditions such as spinal cord injuries, demyelinating neuropathies, diabetes, or previous pelvic or spinal surgeries. The procedure involves several steps to ensure the successful collection of sperm. Initially, the bladder is emptied using a catheter, and a lubricant, such as simulated human tubal fluid or plasminate, may be instilled to aid in the process. A digital rectal examination and/or anoscopy is performed to accurately locate the prostate gland. Following this, a rectal probe is carefully inserted and positioned against the prostate. The procedure involves delivering electrical energy through the probe, which is gradually increased in frequency and amplitude until ejaculation is successfully achieved. The resulting ejaculate is collected in a specimen container, and there may be a subsequent catheterization of the bladder to collect any retrograde ejaculate. After the procedure, the probe is removed, and the rectum may be re-examined using anoscopy to check for any potential thermal or other injuries that may have occurred during the process. This detailed approach ensures that the procedure is conducted safely and effectively, maximizing the chances of obtaining viable sperm for reproductive purposes.