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CPT® 55821, Under Excision Procedures on the Prostate

The Current Procedural Terminology (CPT®) code 55821 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Prostate.

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Summary

In this procedure, the provider excises the prostate gland, along with the vas deferens, or duct that carries sperm, through an incision in the skin crease above the pubic bone in the lower abdomen. He also incises and enlarges the urethra, or external urinary duct, and takes measures to prevent blood loss after the procedure. He performs the procedure to treat a tumor or persistent enlargement of the prostate that is obstructing urinary flow and may carry it out in stages, in two separate procedures.

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Have a question about CPT Code 55821 ? Start a discussion here
Suprapubic or Retropubic Simple Prostatectomy?
Could someone please help me determine if this should be billed with 55821 or 55831? The note says the incision was extraperitoneal and it seems the bladder was opened which would point me to 55821, b... [ Read More ]
Laparoscopic Simple Prostatectomy
[QUOTE="liqgold2@aol.com, post: 506796, member: 729454"] I would suggest the following coding for your clinical scenario: unlisted code 55899 snd bench mark to 55821 or 55831. Do not use the latter co... [ Read More ]
Laparoscopic Simple Prostatectomy
I would suggest the following coding for your clinical scenario: unlisted code 55899 snd bench mark to 55821 or 55831. Do not use the latter codes for the laparoscopic procedure as this coding alert h... [ Read More ]
Laparoscopic Simple Prostatectomy
We have a physician who performs the above. We have been coding as unlisted as there is no CPT for laparoscopic simple prostatectomy and the following link indicates the AUA recommends unlisted as of ... [ Read More ]
Prostatectomies
Simple vs Radical Prostatectomy Robotic radical prostatectomy 55866 Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed Rob... [ Read More ]
Open Simple Retropubic Prostatectomy 55831?
see below for descriptions. May help 55831: The physician removes the prostate gland through an incision made in the lower abdomen just above the pubic area. In preparation for removal of the prostat... [ Read More ]
Robotic Simple Prostatectomy
And here is an updated post from the AAPC Urology Coding Alert from 8/11/16 Question: The urologist performed a DaVinci robotic-assisted simple suprapubic prostatectomy. Would this still qualify for ... [ Read More ]
Robotic Simple Prostatectomy
Here's an answer from an AAPC Urology Coding Alert from 2015; Volume 17, Number 9: Question: What is the proper way to code a robotic-assist laparoscopic simple prostatectomy for BPH with bladder out... [ Read More ]
Laparoscopic Robotic assisted prostatectomy
I have been billing this with unlisted 55899 benchmarked like 55821. My Doctor thinks this should pay more than it is. Is anyone else doing this? Should I be benchmarking to a different code?... [ Read More ]
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