Transurethral Robotic-Assisted Waterjet Resection of Prostate

April 2026 page 117 Transurethral Robotic-Assisted Waterjet Resection of Prostate For the CPT 2026 code set, Category III code 0421T was deleted, and code 52597 was established to report transurethral robotic-assisted waterjet resection of the prostate. The American Medical Association (AMA)/Specialty Society Relative Value Scale (RVS) Update Committee (RUC) Relativity Assessment Workgroup (RAW) identified Category III code 0421T in a high-volume growth screen, and, in response to this analysis, code 0421T was deleted and code 52597 was created to more clearly specify the services provided. This article provides an overview of the intent and reporting of the new code...

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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 premium coding article covers a 2026 CPT update involving a new prostate procedure code, the deletion of a prior Category III code, and related parenthetical note changes across adjacent transurethral prostate and bladder neck codes. It is aimed at coding professionals who need to understand the scope of the new service, how it fits within the CPT code family, and what related reporting notes were revised. The article also includes a clinical example and a procedural description to show the type of case the new code is intended to represent.

Why This Topic Matters

Changes to CPT prostate procedure reporting can affect code selection, related note interpretation, and awareness of deleted or replaced codes. Accurate understanding of the update helps coders, auditors, and clinical documentation teams align reporting with the revised CPT 2026 structure.

Article Sections

  1. April 2026 page 117

    Introductory page header and article identification.

  2. Transurethral Robotic-Assisted Waterjet Resection of Prostate

    Overview of the CPT 2026 update and the scope of the new prostate procedure article.

  3. Bladder / Vesical Neck and Prostate

    Code-family context for related transurethral prostate and bladder neck procedures.

  4. Clinical Example (52597)

    A representative patient scenario illustrating the type of case discussed in the article.

  5. Description of Procedure (52597)

    Step-by-step procedural overview associated with the new code and its related operative workflow.

What You Will Learn

  • How the article frames the 2026 CPT update for a transurethral prostate service
  • What types of related parenthetical note changes are discussed
  • How the article situates the new service within the broader prostate/bladder neck code family
  • What general clinical scenario and procedural workflow the article uses as an example

Who Should Read This

  • Professional medical coders
  • Coding auditors
  • Revenue cycle staff
  • Urology documentation specialists
  • Physician advisors

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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