Urology Coding Alert
Report the Most Accurate Penile Surgery Code
Question: What would we report for preputioplasty? This is a limited dorsal slit with transverse closure for a patient with phimosis. Would you use a circumcision code with a 52 or would this be an unlisted code?
Indiana Subscriber
Answer: Report either 54000 (Slitting of prepuce, dorsal or lateral [separate procedure]; newborn) or 54001 (... except newborn) based on the patient’s age.
Modifier 52 (Reduced services) would not be appropriate with a circumcision code in this case. Since a dorsal slit may be part of the circumcision procedure itself, and there is a CPT® code for a dorsal slit, you can code what your urologist actually performed by using the dorsal slit code and avoiding the use of modifier 52 on the circumcision code.
Answers to Reader Questions and You Be the Coder contributed by Michael A. Ferragamo, MD, FACS, clinical assistant professor of urology, University Hospital, State University of New York, Stony Brook.
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