Urology Coding Alert
Rely on Unlisted-Procedure Code for Burch Takedown
Question: What is the proper code for Burch takedown or retropubic lysis of adhesions and suture removal? Answer: Report 53899 (Unlisted procedure, urinary system). There is no CPT code for a retropubic urethrolysis or takedown of a previously performed Burch colposuspension (bladder neck suspension) or other cystourethropexy to treat stress urinary incontinence.
South Carolina Subscriber
Experts previously considered 57287-52 (Removal or revision of sling for stress incontinence [e.g., fascia or synthetic]; reduced services) to be the closest code for the urethrolysis. However, CPT now instructs coders to use 53899, the unlisted-procedure code, for the supra/retropubic lysis of the urethra.
Many 2005 CPT manuals include this note under 53500 (Urethrolysis, transvaginal, secondary, open, including cystourethroscopy [e.g., postsurgical obstruction, scarring]): "To report urethrolysis by retropubic approach, use 53899." If the urethrolysis is performed vaginally, use 53500.
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