Tierni Posted Mon 20th of May, 2019 15:56:18 PM
According to the notes on file for CPT 52601, TURP, "For first stage transurethral partial resection of the prostate, use CPT® code 52601. For second stage partial resection of the prostate, use CPT® code 52601 with appended modifier 58 (Staged or related procedure or service by the same physician during the postoperative period).
Once in Lifetime Code:
Code 52601 represents a ‘once–in–a–lifetime' procedure which you can report only once per patient if the patient has already had a TURP procedure, you cannot use 52601 a second time, and you need to look at the other TURP codes." So, which is it? Can 52601 be billed twice, the 2nd time with a modifier 58, or not? I am very confused with the verbiage. Thank You.
SuperCoder Answered Tue 21st of May, 2019 03:22:56 AM
Coding the first transurethral resection of prostate TURP procedure a patient undergoes is straightforward but when the patient needs a follow-up or repeat procedure coding for the second procedure can get complicated You need to scour your urologist s documentation to capture all the details including critical history notes before...