CPT^® 52649, Under Vesical Neck and Prostate Surgical Procedures

The Current Procedural Terminology (CPT^®) code 52649 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

Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men. BPH often causes lower urinary symptoms, with urgency, frequency, straining weak flow, infection, and incomplete bladder emptying. Holmium laser enucleation of the prostate (HoLEP) combined with mechanical morcellation represents the latest refinement of holmium:YAG surgical treatment for benign prostatic hyperplasia (BPH).

Report 52649 if the prostate is enucleated with morcellation (fragmentation of larger tissues into smaller ones for easy removal).

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prostatectomy procedures

52601 (the first time) evacuation of chips will be noted, is electro-surgical, rectoscope used (TURP) 52630 (2nd time or anytime after) no matter time frame RECURRENT OR RESIDUAL REGROWTH OF TISSUE ... [ Read More ]

prostatectomy procedures

Can anyone explain the differences between the prostatectomy procedure codes, 52601, 52647, 52648, and 52649? the surgeons in my practice seem to use certain terms interchangeably and it becomes confu... [ Read More ]

Repeat Greenlight

[QUOTE="sxcoder1, post: 467890, member: 352061"] 52649 is not a laser vaporization, it is a laser enucleation which is different. If a laser procedure is done, you code the laser cpt code whether it'... [ Read More ]

Repeat Greenlight

52649 is not a laser vaporization, it is a laser enucleation which is different. If a laser procedure is done, you code the laser cpt code whether it's the first one or a repeat. 52630 is for a tran... [ Read More ]

Repeat Greenlight

So if I'm reading this correctly, after a 52601 the doctor can do EITHER a 52630 OR 52648. And after a 52648, if they go back with the Greenlight, it should be a 52649? Just want it to make sense in... [ Read More ]

Repeat Greenlight

[QUOTE="Jessim929, post: 467775, member: 448908"] But everything I found said 52630 is only used after 52601, NOT 52648. And I was taught that 52648 isn't a once in a lifetime code. [/QUOTE] I just fo... [ Read More ]

Repeat Greenlight

Hi all - I hope someone can shed a little light here.... We have a patient who had two Greenlight vaporizations of prostate (52648) about fifteen months apart. The dictation does not indicate it was ... [ Read More ]

Repeat Greenlight on prostate

Repeat Greenlight

code for removal of prostate tissue through minicystotomy?

I am going to code the first procedure as 52649-52 because of the equipment malfunction but I'm not sure on the removal of prostate tissue through minicystotomy... thoughts? * * * PREOPERATIVE DIAGN... [ Read More ]

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