icd-10-cm pcs code for robotic assisted radical prostatectomy ??

by Dr. Emmy Kreiger MD 6 min read

For example, if the surgeon performs radical, nerve sparing prostatectomy with robot assist, the appropriate code is 55866 Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing.Sep 4, 2012

Full Answer

What is the CPT code for prostatectomy with robot assist?

For example, if the surgeon performs radical, nerve sparing prostatectomy with robot assist, the appropriate code is 55866 Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing.

What is the CPT code for robotic laparoscopy?

No additional payment allowance is made for the robotic surgical technique. For example, if the surgeon performs radical, nerve sparing prostatectomy with robot assist, the appropriate code is 55866 Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing.

What is the ICD 10 code for endoscopic robotic surgery?

2019 ICD-10-PCS Procedure Code 8E0W8CZ. Robotic Assisted Procedure of Trunk Region, Via Natural or Artificial Opening Endoscopic. ICD-10-PCS 8E0W8CZ is a specific/billable code that can be used to indicate a procedure.

Is there a modifier for increased procedural service for robotic surgery?

There is no need for unlisted procedure codes or modifier 22 Increased procedural service for robotic assist (except perhaps, for instance, when there is no existing laparoscopic code to describe a procedure). No additional payment allowance is made for the robotic surgical technique.

What is the ICD 10 code for robotic surgery?

The code for the robotic assistance is 8E0W4CZ. The sixth character value of C identifies that the method of the procedure was via robotic assistance.

What is the ICD 10 code for radical prostatectomy?

ICD-10 code N52. 31 for Erectile dysfunction following radical prostatectomy is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .

What is the CPT code for robotic-assisted radical prostatectomy?

55866A. Robotic-assisted surgery is considered medically necessary for laparoscopic prostatectomy using the CPT code 55866.

What is the ICD 10 code for robotic hysterectomy?

The procedure performed for the purposes of this example is an attempted percutaneous robotic-assisted laparoscopic total hysterectomy, converted to an open total abdominal hysterectomy. The ICD-10-PCS code assignment for this example is: 0UT90ZZ, Resection of uterus, open approach (for the hysterectomy)

What is diagnosis code C61?

Prostate Cancer (ICD-10: C61)

What Code reports a perineal radical prostatectomy?

CPT® Code 55810 in section: Prostatectomy, perineal radical.

How do you code robotic assisted procedures?

Submit HCPCS S2900 with the base procedure. In their claims, surgeons should include HCPCS code S2900* in addition to the main surgical procedure code when they have performed a surgical technique that requires the use of a robotic surgical system.

What is the CPT code for robotic simple prostatectomy?

Answer: You are correct to report 55899 (Unlisted procedure, male genital system) for a robotic-assisted laparoscopic simple prostatectomy.

What is a robotic radical prostatectomy?

Robotic radical prostatectomy is a type of minimally invasive surgery which uses surgical robotic equipment to remove the entire prostate.

What is the CPT code for robotic hysterectomy?

When coding for laparoscopic or robotic procedures, code the standard laparoscopic CPT code, example 58552 for a laparoscopic or robotic vaginal hysterectomy, for uterus 250 g. or less with removal of tube(s) and ovary(s) or as another example 58571 laparoscopic or robot- ic total hysterectomy for uterus 250 g. or less ...

What is the difference between 58571 and 58552?

58552 is a LAVH. Lap Assisted Vaginal Hysterectomy and the 58571 is for TLH, Total Laparoscopic Hysterectomy. You need to read the op ntoe to see what was done. If they do everything through the scope but just remove the uterus through the Vaginal then go with 58571.

What is the ICD-10-PCS code for total laparoscopic hysterectomy?

The code for a total abdominal hysterectomy is: 0UT90ZZ Resection of uterus, open approach. In this example the “Z No Qualifier” is indicating that both the uterus and cervix are removed. The code for a laparoscopic supracervical hysterectomy is: 0UT94ZL Resection of uterus, percutaneous endoscopic, supracervical.

What is the CPT code for prostatectomy?

The CPT® code 55840 "prostatectomy; retropubic radical, with or without nerve sparing" can be billed with a -51 modifier in addition to the appropriate cystectomy code.

What is open prostatectomy?

Open radical prostatectomy, or the complete removal of the prostate gland, is a surgery used to treat prostate cancer. In an open surgery, the surgeon makes a short incision that allows them to insert surgical tools and to see the surgical site clearly.

What is removed in a prostatectomy?

Procedure overview A prostatectomy is a surgical procedure for the partial or complete removal of the prostate. It may be performed to treat prostate cancer or benign prostatic hyperplasia. A common surgical approach to prostatectomy includes making a surgical incision and removing the prostate gland (or part of it).

What is ICD 10 code for status post TURP?

816: Encounter for surgical aftercare following surgery on the genitourinary system.

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. These 2022 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2021 through September 30, 2022.

What is the 0V508ZZ code?

0V508ZZ is a billable procedure code used to specify the performance of destruction of prostate, via natural or artificial opening endoscopic. The code is valid for the year 2021 for the submission of HIPAA-covered transactions.

What is Medicare code editor?

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

How many decimals are in the ICD-10 code?

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals . The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.

What is a partial cystectomy?

A partial cystectomy was performed to remove all the sutures from the sacral promontory and the bladder lumen. An area was created between the bladder and vagina anteriorly and posteriorly in order for the mesh to be sutured to the vaginal wall, apex and sacral promontory.

Is AHA coding code copyrighted?

AHA CODING CLINIC® FOR ICD-10-CM and ICD-10-PCS 2018 is copyrighted by the American Hospital Association ("AHA"), Chicago, Illinois. No portion of AHA CODING CLINIC® FOR ICD-10-CM and ICD-10-PCS may be reproduced, sorted in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior express, written consent of the AHA.

What is the CPT code for prostatectomy?

There is only one robotic CPT code for a prostatectomy in the CPT book and that code reads: 55866- Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance when preformed. Since a simple prostatectomy does not include everything listed in the description of CPT code 55866, ...

What is the code for a prostatic enucleation?

Use 55821 if your urologist is performing the laparoscopic prostatic enucleation through an open bladder approach. If he is using an incision in the prostatic capsule instead, use 55831. Check your surgeon’s documentation to determine the best code to use as your benchmark.

Can you code a lap prostatectomy?

I don' t think there's a code for a simple lap prostatectomy? If there is (not my area of expertise), you can code that, and add the S2900 for robotic procedure performed. If there's no code for the simple prostatecto my, you'd have to code the radical with the -52.

Is robotic surgery covered by CPT?

Robotic surgery is covered by routine and customary laparoscopic CPT® and ICD-9-CM coding practices, existing medical policies for advanced laparoscopic surgery, and current payer contract rates. There is no need for unlisted procedure codes or modifier 22 Increased procedural service for robotic assist (except perhaps, for instance, when there is no existing laparoscopic code to describe a procedure). No additional payment allowance is made for the robotic surgical technique.

Does robotic assisted prostatectomies improve surgical outcomes?

Other studies have similarly concluded that robotic-assisted procedures do not improve surgical outcomes , but may allow shorter hospital stays and less blood loss.

Does robotic surgery improve surgical outcomes?

Other studies have similarly concluded that robotic-assisted procedures do not improve surgical outcomes, but may allow shorter hospital stays and less blood loss. ...