CPT^® 52640, Under Vesical Neck and Prostate Surgical Procedures

The Current Procedural Terminology (CPT^®) code 52640 as maintained by American Medical Association, is a medical procedural code under the range - Vesical Neck and Prostate Surgical Procedures.

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Summary

Postoperative bladder neck contracture (BNC) is generally due to prostatectomy surgery. The surgical procedure involves the removal of these contracture performed under an endoscope.

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Trans urethral incision of bladder neck contracture - listed a few cpt codes not sure which way to go...

The patient has had a radical prostatectomy and the previous op note stated urethrovesical anastomosis was performed using a double-armed 3-0 V-lock suture. This was a running stitch starting posteri... [ Read More ]

Cystoscopy, clot evacuation, fulguration of bleeders, transurethral resection of bladder neck contracture

You are corerect in this case there is no true bladder neck contraction. Therefore, I wouild suggest 53899, an unlisted urology code, and bench mark to 52640 for the resection of scar at the anastomos... [ Read More ]

52640 once in a lifetime code????

I believe 52640 is as stated the correct code for your clinical scenario. However, there seems to be a frequency problem where this code cannot be billed a second time. I would then consider 52500 wit... [ Read More ]

52640 once in a lifetime code????

[QUOTE="sxcoder1, post: 498047, member: 352061"] I have never heard of 52640 being once in a lifetime. [/QUOTE] Me neither. I knew 52500 was, and it was only if there was no previous surgery. But this... [ Read More ]

52640 once in a lifetime code????

I have never heard of 52640 being once in a lifetime.... [ Read More ]

52640 once in a lifetime code????

Hi - I have a patient who had a TURP with a TUIP in 2013. He had a resection of the bladder neck contracture on June 23rd of this year, because of the TURP, I billed 52640. Medicare is denying it for... [ Read More ]

What is the code for transurethral incision of bladder neck. Is it the 52500 or 52450.

If you are doing incisions of the bladder neck for primary bladder neck obstruction, then bill 52450-52. If are you doing incisions of a postop bladder neck contracture such as after a TURP, code 5264... [ Read More ]

TURP after simple prostatectomy?

What about 52640?... [ Read More ]

52640 w/52283

Having some confusion on went to be able to code these separately, provider wants me to bill them together with 52283-59, but I don't think the documentation is sufficient to bill separately or is it?... [ Read More ]

same procedure, same provider within 90 day global

Physician performed a transurethral resection of postoperative bladder neck contracture, 52640. Less than 90 days later, the same provider performs the same procedure. Even though CPT does not say mo... [ Read More ]

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