geris17
New
Hi all, we have just received several letters denying our assignment of 52601, TURP, when physician documents, "rectoscope inserted, bipolar loop attached, median lobe was resected followed by the floor of prostate followed by right lateral wall, left lateral wall and roof of prostate". They suggest 52214 because all of the prostate was not removed or excised, all 5 lobes were not resected. I located a document referring to an AAPC webinar, document not dated so I do not know when posted, and question was posted, " How do we know when to bill for CPT code 52601?" and answer was "52601 is for an initial TURP, no matter the technique used or amount of tissue removed." Is this accurate? Yet Coding Clinic for HCPCS, 4th qtr 2008, pages 7,8 question and answer describes complete as entire prostate. What CPT code would you assign for the above scenario?