tci Outpatient Facility Coding Alert - 2015 Issue 10

Reader Question: Report Initial TURP with 52601

Question: If a patient who had a laser vaporization of a portion of the prostate by an out of state surgeon and the physician chooses to do a traditional TURP of a different larger section of prostate (these were years apart), which code should we use? Indiana Subscriber Answer: You should use 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]) because your physician performed a formal initial TURP, and not a repeat laser. There are no codes for a repeat laser vaporization of...

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