Scrotal Ultrasonography

Aetna covers scrotal ultrasonography for detection/characterization of scrotal masses/tumors, for evaluation of undescended testes when specifically used to search for gonads/uterus in a phenotypic male infant with bilateral non‑palpable testes or to assess obese boys when palpation would alter the surgical approach, and for suspected testicular torsion. It is excluded/considered experimental and not covered for surveillance of testicular microlithiasis without additional risk factors (e.g., prior cryptorchidism, testicular atrophy <12 mL, prior testicular cancer) and for any other unlisted indications; ultrasound cannot reliably locate intra‑abdominal testes and has limited value for non‑palpable testes and should not delay exploratory surgery (claims using N50.82 for TM surveillance are not covered).

"Documentation of the clinical indication that justifies the ultrasound (e."