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Wiki Aspiration of Prosate Cyst

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KaylaRieken

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At this point, the transrectal ultrasound was inserted. The prostate was measured and found to be approx 42.3 g in size. The area near the bladder neck which was possible median lobe, was confirmed to be a prostate cyst. There was also a smaller cystic structure on the posterior aspect as well as some moderate calcifications. At this point, the perineum was anesthetized along with the apex of the prostate with 10 mL of lidocaine.

I then used my spinal access needle and was able to traverse the middle portion of the prostate until I cannulated the anterior cyst and was able to aspirate out the contents, which was a bloody content with no purulence or other concerning findings.

Patient also had a cystoscopy and a transperineal Precision Point biopsy done.

Would I use codes 10005 or 10160 for the aspiration?
 
I would suggest the following coding for your clinical scenario:
55700 if you biopsied the prostate gland,
10005-XU for the aspiration of the prostatic cyst, and
52000 for the cystoscopy
I hope this helps you.
Michael A. Ferragamo MD, FACS, consultant for urology coding and reimbursements
 
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