Urology Coding Alert

Reader Question:

You Need Multiple Codes for a Cystourethrogram Leading to a Meatoplasty

Question: This male patient had a voiding cystourethrogram revealing a distal meatal stricture. Sounds were used to gradually dilate the urethral meatus. An incision was made from urethral meatus to the distal urethra. Several sutures were used to advance and approximate the inner mucosa approximately 2 cm in length to the skin at the external meatus. What would the correct coding be?

Pennsylvania Subscriber

Answer: Based on the information you have shared, the correct codes are:

  • 53450 – Urethromeatoplasty, with mucosal advancement
  • 53600 – Dilation of urethral stricture by passage of sound or urethral dilator, male; initial
  • 74455-26 – Urethrocystography, voiding, radiological supervision and interpretation; profes­sional component


Other Articles in this issue of

Urology Coding Alert

View All