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new coder needs help - coders opinions

  1. #1
    Default new coder needs help - coders opinions
    Medical Coding Books
    I am unsure of CPT. Looking at 52648. Would like other coders opinions. Any help is appreciated.

    operation:: cystoscopy, urethral dilation of urethral stricture with laser with diode laser 1470 nanometes, prostatectomy and TUR of prostate.

    procedure: cystoscopy revealed a mild stricture of the proximal bulbous urethra which was dilated with Buren sounds to 29-French. Using the laser cystoscope and the 1000 micron fiber with a night-angle lens 1470 diode laser prostatectomy was performed creating an open prostatic fossa. At this point the laser malfunctioned and the remainder of the prostatectomy was achieved with the 26-French Storz continuous flow rectoscope loop creating a nice opened pear-shaped fossa preserving the verumontanum, external sphincter and ureteral orifices. All chips were evacuated with the Ellik evacuator. A 22 three-way catheter with a 30mL balloon was placed.

  2. Default

  3. Default Why not 52648?
    If they are doing laser procedure why would you use 52601 instead of 52648? What about bipolar vaporization of the prostate? Thank you.

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