AHA Coding Clinic® for HCPCS - 2021 Issue 2; Ask the Editor
Transurethral resection of prostate
A patient presented for a button transurethral resection of the prostate (TURP). After a cystourethroscopy was performed, it was decided that a partial TURP would be performed on the right side only, as the left side of the prostate appeared normal. A rectoscope was placed and the prostatic urethra was resected with bipolar cautery. The right prostatic lobe was removed and fulguration was performed for hemostasis. The code descriptors of both CPT code 52601, Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included), and code 52648, Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed), specify a “complete” removal of the prostate. For facility reporting, what is the correct CPT code for a partial (rather than complete) transurethral resection of the prostate? Is it appropriate to assign CPT code 52214, Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands, for partial excision and partial vaporization of the prostate? ...
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