September 2004 page 11
Coding Communication:Urethrolysis Coding Update
This article focuses on the new code added to the
urinary section of CPT 2004. Code 53500,
Urethrolysis, transvaginal, secondary, open, including
cystourethroscopy (eg, postsurgical obstruction,
scarring), describes a procedure performed to
treat obstructive voiding symptoms related to
excessive periurethral scarring secondary to
postoperative urethral suspension procedures
(eg, bladder neck suspension). Prior to 2004, no
reporting mechanism existed for this operative
technique and the work involved in dissecting
and mobilizing the urethra away from the dense
surrounding fibrous tissue.
As the incidence of female stress incontinence
has increased over the past...
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