Wiki Modified Urolift?

[toria11]

Hi! The physician is considering this procedure a "modifier Urolift" because he resected the patient's median lobe prior to placing the implants. Should 52601-52 be billed along with the Urolift codes? Thanks!!

POSTOPERATIVE DIAGNOSIS: Bladder neck obstruction.
PROCEDURE PERFORMED: Modified UroLift.
ANESTHESIA: General.
DETAILS OF PROCEDURE: The scope was placed in the bladder without difficulty. Large median
lobe was noted. At this time, we resected the median lobe. We left the lateral lobes alone. Once we had
removed the couple of pieces of tissue at the medium lobe and had that wide opened, then proceeded with
UroLift. Using the UroLift instruments, we placed four implants two at the bladder neck and then two at
the verumontanum. An anterior aperture was noted to be adequate. The patient was started to
spontaneous void at this time. Therefore, after all chips were removed, good hemostasis was obtained. 10
mg of Lasix IV was given. A 22 3-way catheter was placed the CBI and B&O suppository was given.
The patient was sent to the PAR in stable condition. We will follow in a week or two with his PVR.

 

[liqgold2@aol.com]

This is a clinical scenario in which two procedures are performed to accomplsh one end result, opening the prostatic urethra to help in voiding. In these situations the CPT rules tell us to bill the one procedure that most accomplishes the end result and not the two procedures. In this clinical case I would choose the urolift alone as being the most to reach the end result.