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Can 51800 be billed with 55866??

  1. #1
    Default Can 51800 be billed with 55866??
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    I have urologist who wants to bill a 55866 ( laparoscopic prostatectomy, retropubic radical, including nerve sparing and use of robotics if done) along with 51800 for a cystoplasty/cystourethroplasty. The group is located in Pennsylvania, does anyone have any insight on this?
    Nancy G. Burch Nelson CPCA

  2. Default
    Per encoder, you should be able to bill for both with a modifier -51 on 51800.....

  3. #3
    Quote Originally Posted by bill2doc View Post
    Per encoder, you should be able to bill for both with a modifier -51 on 51800.....
    Thank you for your input. I had checked SuperCoder and it came up the same thing.

  4. Default
    I found this on

    Q. When performing a laparoscopic prostatectomy, can I also code for the bladder neck reconstruction?

    A. When performing CPT® code 55866 Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing it is not appropriate to code the 51800 Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus), any procedure, with or without wedge resection of the posterior vesical neck. Often there are times when the bladder neck must be reconstructed when performing a prostatectomy. Since the reconstruction needs to be performed as a result of the prostate being removed, it should not be coded separately. Effective January 1, 2011, CPT® code 55866 will read as Laparascopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed.

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