Urology Coding Alert
Determine TURP Timing for Correct Coding
Question: My urologist documented the following “At this time we placed a 24 French continuous resectoscope. With the resecting loop we were able to get necrotic and calcified tissue from the prostatic fossa with some difficulty. After completely getting all of this tissue resected, we fulgurated any areas of active bleeding.” How should I report this procedure?
Codify Forum Member
Answer: This is a transurethral resection of the prostate gland (TURP).
If this is an initial resection of the prostate gland, then code 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]).
If this is a repeat TURP, then report 52630 (Transurethral resection, residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete, [vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included]).
Because of the necrotic and calcified tissue removed, this most likely represents a repeat TURP. Diagnoses would be 600.01 (Hypertrophy [benign] of prostate with urinary obstruction and other lower urinary tract symptoms [LUTS]) and also 601.8 (Other specified inflammatory diseases of prostate), or just 185 (Malignant neoplasm of prostate), depending on the pathology found.
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