Urology Coding Alert

You Be the Coder :

Release of Hidden/Buried Penis

Question: My urologist performed a procedure on a patient for "release of hidden penis." In doing this procedure the physician performed a surgical skin release of the buried penis as well as removal of scar tissue from the exposed penile shaft, a split-thickness skin graft to cover the exposed shaft of the freed penis, a "Z" plasty closure of the released scrotal skin, and a cystoscopic examination. How should I report this procedure? Is an unlisted code appropriate? Virginia Subscriber Answer: You should start by reporting 15120 (Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children [except 15050]) and 15004 (Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar [including subcutaneous tissues], or incisional release of scar contracture, face, scalp, eyelids, mouth, [...]
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