CPT® Code 74440

The CPT® Code 74440 refers to a specialized radiological procedure known as vasography, vesiculography, or epididymography, which involves the examination of the male reproductive system. This procedure is performed to identify potential abnormalities such as tumors, cysts, abscesses, inflammation, or obstructions within the reproductive structures. During the procedure, fluoroscopy is utilized alongside a radiopaque contrast medium to enhance the visibility of the internal anatomy. The process begins with the creation of small bilateral incisions in the upper scrotum, allowing access to the vas deferens. A needle or small catheter is then carefully inserted into the vas deferens, through which the contrast medium is injected. This enables the healthcare provider to observe and record the flow of the contrast through the vas deferens, seminal vesicles, or ejaculatory ducts. Following the completion of the examination, the needles or catheters are removed, and the incisions are closed. The code 74440 specifically captures the radiological supervision and interpretation of this procedure, which includes a thorough review of the obtained records and the generation of a written report detailing the findings.