Urology Coding Alert

How would you report this procedure?Test your operative report interpretation skills with this case study from a Urology Coding Alert subscriber in New York. I have a case where I'm having trouble assigning the CPT Codes . Here is the operative report: Nature of Operation: Transrectal ultrasound-guided biopsy of perivesical mass/periurethral tissuesIndication: Patient has a history of prior radical prostatectomy with lymph node dissection. Endorectal MRI of the pelvis identifies tissue bilaterally along the region of the neurovascular bundles particularly on the right side which appears suspicious. Biopsy of these areas was recommender prior to initiation of radiotherapy.Operative Procedure: Following sedation, the patient was placed in modified dorsal lithotomy position. Bimanual examination was performed. Fibrotic area was noted along the right and left side. More so, on the right in the region of neurovascular bundle, but no evidence of palpable tumor was appreciated.Transrectal ultrasonography was then performed identifying [...]