Wiki Prostate surgery

[LTibbetts]

I have been seeing a few of these lately where the doc is removing necrotic tissue at the base of the prostate using a retroscope after the laser procedure is done. Is this considered an integral part of this procedure or are we able to capture it? He makes a completely new entry on the op note and clearly states that this is following the laser procedure, that he is using a different tool, and he also states that his reason for doing it is a shorter period required for a catheter. It seems like we might be able to charge for it or am I just reading too much into it or maybe misunderstanding why the procedure is being done in the first place? I haven't done a lot with urology so any help is appreciated.

 

[WulbernC]

Good morning,
If the surgeon is performing the laser vaporization (52648), the descriptor of that code lists “…….transurethral resection of prostate is (are) included if performed” so I would consider the removal of the prostatic tissue included.
I hope this is helpful!

 

[LTibbetts]

It does, thank you! I am so used to coding colonoscopies and if a different tol is used, it is also coded so I just couldn't seem to get past that notion. Thanks for your help