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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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is a short CPT Assistant question-and-answer piece focused on surgery coding for the urinary system. It discusses how to approach a robotic-assisted laparoscopic prostate procedure when no specific CPT code is available, and it notes the type of documentation typically associated with an unlisted procedure report. It is most relevant to coders, billers, and clinicians working with surgical urology claims and CPT coding guidance.

Why This Topic Matters

It helps readers determine whether a specific robotic-assisted prostate surgery scenario falls within the article’s coding guidance and whether the discussion applies to their CPT reporting workflow.

What You Will Learn

  • How CPT Assistant addresses a urinary system surgery coding scenario
  • How unlisted procedure reporting is discussed for a prostate operation
  • What general documentation considerations are associated with an unlisted CPT code submission
  • How the article frames coding guidance for a robotic-assisted laparoscopic prostate procedure

Who Should Read This

  • Medical coders
  • Coding auditors
  • Urology practices
  • Surgeons
  • Billing staff

Codes Discussed


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