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,...
2018/2019 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.
Adding modifier 52 to code 55866 (Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed) is incorrect coding as you cannot change a code description or meaning of a procedure code by adding modifier 52 (Reduced services).
If there's no code for the simple prostatectomy, you'd have to code the radical with the -52. Question: What is the proper way to code a robotic-assist laparoscopic simple prostatectomy for BPH with bladder outlet obstruction?
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.
A. Robotic-assisted surgery is considered medically necessary for laparoscopic prostatectomy using the CPT code 55866.
CPT Code 55866 Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistant when performed is a code used for surgical treatment for prostate cancer.
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.
Robotic simple prostatectomy is the removal of prostatic tissue which is blocking the flow of urine form the bladder, with the aid of a surgical robot.
Robotic radical prostatectomy is a type of minimally invasive surgery which uses surgical robotic equipment to remove the entire prostate.
CPT® Code 55810 in section: Prostatectomy, perineal radical.
Resection of Prostate, Via Natural or Artificial Opening Endoscopic. ICD-10-PCS 0VT08ZZ is a specific/billable code that can be used to indicate a procedure.
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.
58552 is a LAVH. Lap Assisted Vaginal Hysterectomy and the 58571 is for TLH, Total Laparoscopic Hysterectomy.
S2900 is not a code that is processed by Medicare.
XV508A4 is a billable procedure code used to specify the performance of destruction of prostate using robotic waterjet ablation, via natural or artificial opening endoscopic, new technology group 4. The code is valid for the year 2021 for the submission of HIPAA-covered transactions.
XV508A4 replaces the following previously assigned ICD-10-PCS code (s):
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.
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:
The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:
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.
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, ...
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.
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.