tci Outpatient Facility Coding Alert - 2013 Issue 11

Reader Question: Select 52601 for First Round TURP

Question: If you see a patient who had a laser vaporization of a portion of the prostate (52648) by an out of state surgeon and your urologist chooses to do a traditional TURP (52601) of a different larger section of prostate (these were years apart), which code would you use: 52601 or 52630? 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 urologist performed a formal initial TURP, and not a repeat laser. There are no...

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