PROCEDURAL NOTE PATIENT: Ray, Alexander
AGE: 59
DATE: 02/15/2015
PREOPERATIVE DIAGNOSIS: Prostate Cancer, Primary
POSTOPERATIVE DIAGNOSIS: Same
PROCEDURE: TURP
A patient was placed in supine position on the operating table, draped and anesthetized accordingly. Using a resectoscope with light source, the physician located the prostate and resected the malignant prostatic tissue with electrocautery knife, leaving the appropriate margins. The physician removed the resectoscope and the patient was catheterized for drainage of his bladder contents and resected prostatic tissue. The patient tolerated the procedure well and was transferred to postoperative recovery. What is the correct code for this surgical procedure?

Question

Quizplus · Accepted Answer

The correct code for this surgical procedure is 52601 (Transurethral Electrosurgical Resection of the Prostate Including Control of Postoperative Bleeding, Complete). The procedure TURP stands for transurethral resection of the prostate, which is the procedure described in the procedural note. Code 52500 is only used for the resection of a bladder neck not the prostate. Code 52630 is used for the regrowth of prostatic tissue and modifier-58 is inappropriate because it is used for the primary procedure.