Prostatic water vapor therapy with fluorescent guidance via (ICG) dye

[rgeib]

Looking for advisement re: use of the brand name Rezum system for prostatic water vapor therapy. I know that 53854 is the primary CPT, but some providers having also been performing IV fluorescent imaging via ICG dye and a brand name Activsight camera to assess intraoperative perfusion. Would this imaging be considered inclusive to a transurethral procedure such as 53854? Thanks in advance for any advice.

 

[daniel]

Inclusive: This Q&A is a different specialty, but same logic.

Coding for ICG Imaging​

General Surgery
Dec 19
Question:
Can you give guidance on CPT 15860 as it pertains to colorectal surgery?
My surgeons have been using this code when they use the isocyanine green fluorescence imaging either with the robot (Firefly) or open (SpyPhi). They are saying this code is relevant because they are assessing vascular flow in a graft (it’s technically a graft of autologous tissue to replace the removed bowel).
Answer:
The infusion of ICG dye as imaging to assess perfusion is inherent to the procedure and not separately reported.
*This response is based on the best information available as of 12/19/19.