AHA Coding Clinic® for HCPCS - 2018 Issue 1; Ask the Editor

Robot-assisted simple prostatectomy

An endoscopic examination was performed, several ports were placed and the robot was docked onto the patient. The exam revealed a complete prolapse of the vaginal organs including the bladder and the vaginal apex. Due to a previous surgery, adhesions had formed and it appears the bladder was sutured to the sacral promontory leaving the vagina without any support. A partial cystectomy was performed to remove all the sutures from the sacral promontory and the bladder lumen. An area was created between the bladder and vagina anteriorly and posteriorly in order for the mesh to be sutured to the vaginal wall, apex and sacral promontory. The vaginal apex is now supported with the permanent sutures utilized. The robot was undocked; ports removed and skin incisions were all closed. Our facility needs clarification regarding CPT code range 51550-51596 for cystectomy procedures. Are these codes only reported for an open approach or can they be reported for a laparoscopic approach as well? ...

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