AMA CPT® Assistant - 2019 Issue 6 (June)

Surgery: Urinary System (Q&A) (June 2019)

June 2019 page 14c Surgery: Urinary System Question: What code(s) should be reported for a robotic-assisted simple prostatectomy performed laparoscopically? Answer: There is no specific CPT code for the scenario described, therefore, the physician should report the procedure with code 55899, Unlisted procedure, male genital system. When reporting an unlisted code to describe a procedure or service, it will be necessary to submit supporting documentation (eg, procedure report) with the claim to provide an adequate description of the nature, extent of, and need for the procedure; and the time, effort, and equipment necessary to provide the service. Surgery: Urinary...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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