Cpt code turp

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Read the "tci Part B Insider" newsletter article titled: "CPT 2009: CPT Makes HPV Code Official; Radically Changes TURP Coding" - subscription required. codes diagnosis. ICD-10-CM; DRGs; HCCs; ICD-11; SNOMED CT; ICD-9-CM; procedures. CPT ® HCPCS; CDT ® (dental) ICD-10-PCS; LOINC; SNOMED CT; APC; ASC; ABC (alt med) ICD-9 v3 ...CPT. CPT Codes. Surgery. Surgical Procedures on the Urinary System. Surgical Procedures on the Bladder. Transurethral Surgery Procedures on the Bladder. Urethra and Bladder Transurethral Surgical Procedures. 52235. 52234.Enter the code you're looking for in the "Enter keyword, code, or document ID" box. The list of results will include documents which contain the code you entered. Please Note: For Durable Medical Equipment (DME) MACs only, CPT/HCPCS codes remain located in LCDs. All other Codes (ICD-10, Bill Type, and Revenue) have moved to Articles for DME ...Description. The surgery takes about 1 to 2 hours. You will be given medicine before surgery so you don't feel pain. You may get general anesthesia in which you are asleep and pain-free or spinal anesthesia in which you are awake, but numb from the waist and below. Your surgeon will insert a scope through the tube that carries urine from your ...Jul 13, 2021 ... Transurethral Resection of the Prostate (TURP) · Comments159.

The principal procedure code is CPT 52601 describes a TURP procedure for removal of prostate tissue by a cystourethroscopic approach, typically to resect prostate tissue in men with urinary obstruction at the level of the prostate. In order to use CPT code 52601 without a modifier, the amount of tissue that needs to be removed is as much tissue ...The clinical efficacy of the procedure or service is documented in literature that meets the requirements set forth in the CPT code change application. A Category I CPT code must also meet stringent literature requirements established by the AMA to prove clinical efficacy before a code is approved through the CPT Editorial Process. The Rezum ...Just follow the path to discover the code you should be using for every TURP your urologist performs.Choosing the proper transurethral resection of the prostate (TURP) code can be as easy as 1-2-3-4. Follow this question and answer path to navigate your way through the new TURP coding path.Transurethral resection of the prostate (TURP) is surgery to remove part of your prostate. TURP can relieve symptoms of enlarged prostate, such as difficulty urinating and frequent urination. This procedure involves inserting a tool in your urethra, so you don’t have any incisions. Usually, you stay in the hospital for one to two days after ...Question: The doctor performed a cystourethroscopy with bladder biopsies (52204) for carcinoma of the bladder, then obtained prostate biopsies with the resectoscope.The doctor thinks we should code for a partial TURP (52601). How should this be coded? Roseann Lightbody, Charlotte, N.C. Answer: Code the biopsies with …

CPT® 52500 is described as "transurethral resection of bladder neck;" because the prostate was resected, not the bladder neck, this would not be appropriate. CPT® 52630 describes TURP of residual or regrowth of obstructive prostate tissue, which is the appropriate code. Had the patient needed a "repeat" TURP within the global period ofDeveloping apps normally needs experienced programmers who are familiar with development. However, these low-code and no-code apps change the paradigm. Receive Stories from @elinex...I am looking for the right CPT code for the resection of bladder neck contracture. The patient has had a radical prostatectomy. I am thinking codes 52001, 52214, and 52276. I had a note that says the true bladder neck has been removed during the prostatectomy and to use 52276 when incisions are used to treat a stricture of the urethra at the ...00910, Under Anesthesia for Procedures on the Perineum. The Current Procedural Terminology (CPT ®) code 00910 as maintained by American Medical Association, is a medical procedural code under the range - Anesthesia for Procedures on the Perineum.TURP vs. PVP (52601 vs. 52648) The procedure described in your op note is a TransUrethral Resection of the Prostate (TURP), coded with 52601 (if this is the patient's first TURP) or 52630 (If the patient has had a previous TURP). The key documentation elements to watch when selecting this CPT code are the use of a transurethral resectoscope and ...

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The Current Procedural Terminology (CPT ®) code 50947 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Procedures on the Ureter. Subscribe to Codify by AAPC and get the code details in a flash. Request a Demo 14 Day Free Trial Buy Now.Procedure codes 52351 or 52354 will be denied if billed with procedure code 52601. Procedure code 52601 must be billed for the first TURP and may be billed again if the first TURP is staged with modifier 58. Therefore, procedure code 52601 will no longer be limited to one per lifetime, any provider, because a staged procedure with modifier 58 ...Calculate the average percentage of patients for the entire year who waited longer than an acceptable amount of waiting time. (The sample size for each month's data is 100.) 3.7%. (5 + 4 + 3 + 5 + 3 + 10 + 5 + 2 + 1 + 2 + 1 + 3) / 12 = 3.66 = 3.7. A patient is admitted with acute hemorrhagic cystitis.Ease some of the headaches by remembering these three expert TURP coding guidelines. Focus on 52601 for First Round Procedures The first thing you need to check when coding for a TURP procedure is whether the patient has had a previous TURP procedure. If not, you have just one code to report the initial TURP, says Becky Boone, CPC, CUC, CPMA ...55831. 55840. Prostatectomy, retropubic radical, with or without nerve sparing. 55842. Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes. 55845.Surgical removal includes a radical prostatectomy (RP), with either a retropubic or perineal approach. Radical prostatectomy is the removal of the entire prostate gland. Nerve-sparing surgical removal is important to preserve as much function as possible. Transurethral resection of the prostate, or TURP, which also involves removal of part of ...

Read the "tci Part B Insider" newsletter article titled: "CPT 2009: CPT Makes HPV Code Official; Radically Changes TURP Coding" - subscription required. codes diagnosis. ICD-10-CM; DRGs; HCCs; ICD-11; SNOMED CT; ICD-9-CM; procedures. CPT ® HCPCS; CDT ® (dental) ICD-10-PCS; LOINC; SNOMED CT; APC; ASC; ABC (alt med) ICD-9 v3 ...Transurethral procedure. This is a surgical procedure that your urologist will perform while you're under anesthesia. They'll use a type of cystoscope that uses an electric current to see the bladder neck contracture and remove scar tissue (resectoscope). Urinary reconstruction and diversion. In severe cases of bladder neck contracture ...Anesthesia for Procedures on the Perineum. 00930. 00928. 00930. 00932. CPT ®00930, Under Anesthesia for Procedures on the Perineum. The Current Procedural Terminology (CPT ®) code 00930 as maintained by American Medical Association, is a medical procedural code under the range - Anesthesia for Procedures on the Perineum.This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L38712, Transurethral Waterjet Ablation of the Prostate. Please refer to the LCD for reasonable and necessary requirements. Coding Guidance.Avoid getting caught out by getting to know more about The Google Voice Vertification code scam. Here's everything you need to know. Scammers target people in a variety of ways. Th...What is transurethral resection of the prostate (TURP)? If your prostate becomes too large, your doctor may recommend a surgical procedure known as transurethral resection of the prostate (TURP ...However, if you perform the retrograde pyelogram for a reason other than the TURBT, you can bill both, using modifier -59 ( distinct procedural service) appended to the 52005. You must have different diagnosis codes for each procedure. For the TURBT, use 188.x ( malignant neoplasm of bladder ). The diagnosis code for the pyelogram is determined ...Prostate gland Enlarge image. Transurethral microwave thermotherapy (TUMT) is an outpatient procedure to treat urinary symptoms caused by an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH). TUMT is generally considered a safe procedure with a low risk of side effects.HoLEP is a minimally invasive procedure that uses a laser beam to remove the tissue from your prostate that’s blocking the flow of pee. HoLEP was developed in the 1990s as a more effective and potentially less costly surgery for urinary obstruction due to BPH. HoLEP offers faster recovery times and requires no incisions (cuts).

Embolization Coding - Operative Fields All embolization codes 37241‐37244, 61624, 61624, 75894, & 75898 are assigned once per operative field. 1 Operative Field 2 Operative Fields Multiple vessels feeding a bladder tumor Bilateral organs - each organ separate field

Physician part B claims records were searched to identify patients in the study population with the Current Procedural Terminology (CPT) code 52601, (TURP) at any time from the date of diagnosis to December 2003, or to the date of death for those men who died before December 2003.0. Nov 10, 2020. #1. Hi all, we have just received several letters denying our assignment of 52601, TURP, when physician documents, "rectoscope inserted, bipolar loop attached, median lobe was resected followed by the floor of prostate followed by right lateral wall, left lateral wall and roof of prostate". They suggest 52214 because all of the ...Table: CPT Codes / HCPCS / ICD-10 Codes; Code Code Description; CPT codes covered if selection criteria are met:: 0421T: Transurethral waterjet ablation of prostate, including control of post-operative bleeding, including ultrasound guidance, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included when performed)CPT code 52601 is an essential code to understand when it comes to transurethral resection of the prostate (TURP) procedures. This code specifically describes a transurethral electrosurgical resection of the prostate, including control of postoperative bleeding. When using CPT code 52601, the surgeon aims to remove as much prostate tissue as is ...However, if you perform the retrograde pyelogram for a reason other than the TURBT, you can bill both, using modifier -59 ( distinct procedural service) appended to the 52005. You must have different diagnosis codes for each procedure. For the TURBT, use 188.x ( malignant neoplasm of bladder ). The diagnosis code for the pyelogram is determined ...Overview. Transurethral resection of the prostate (TURP) is a common surgery that's used to treat urinary problems that are caused by an enlarged prostate. An …Other novel additions to the CPT code set respond to product-specific innovations in the prevention of Respiratory Syncytial Virus (RSV) that causes acute respiratory infection in individuals of all age groups. Five new CPT codes have been created to report product specific RSV immunizations (90380, 90381, 90683, 90679, and …Overview. A transurethral resection of the prostate (TURP) is a surgical procedure that involves cutting away a section of the prostate. The prostate is a small gland in the pelvis only found in men. It's located between the penis and bladder, and surrounds the urethra (the tube that carries urine from the bladder to the penis).

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55831. 55840. Prostatectomy, retropubic radical, with or without nerve sparing. 55842. Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes. 55845.Code the TURP procedure.. ... CPT code for transurethral electrosurgical resection of the prostate is 52601. This is one of the treatments for benign prostatic hyperplasia. This procedure is performed through the urethra and resection of the enlarged tissue is performed to reduce the size of the prostate.We reported CPT codes 52235, Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor (s) (2.0 to 5.0), and 51720, Bladder instillation of anticarcinogenic agent (including retention time), but these codes produce an edit when reported together. Our coders have been instructed by a ...CPT Code 52450, Surgical Procedures on the Bladder, Vesical Neck and Prostate Surgical Procedures - Codify by AAPC. Select. Code Sets; Indexes; ... then bill 52450-52. If are you doing incisions of a postop bladder neck contracture such as after a TURP, code 5264... [ Read More ] What is the code for transurethral incision of bladder neck. Is ...If you purchased your mobile phone through Virgin, it came locked to that network. This means that you cannot use your phone with a different mobile service provider until you get ...ICD-10-CM Diagnosis Codes Refer to the 2022 ICD-10-CM Codebook to select the complete, specific codes and other possible applicable diagnosis codes. ICD-10-CM Diagnosis Code N40.1 Benign prostatic hyperplasia • AMA Current Procedural Terminology (CPT) Manual-2022CPT Code Description CY 2019 Physician Payment CY 2019 Medicare Hospital Outpatient Prospective National Unadjusted Payment APC Payment 0421T* Transurethral waterjet ablation of prostate, including control of post-operative bleeding, including ultrasound guidance, completeLymphoma workup is a time consuming and demanding procedure because the specimen arrives fresh and requires immediate actions. Lymph node, lymphoma workup isn't listed in the CPT book, but it equates to a Sentinel lymph node from a pathologist work perspective; CPT code 88307 is assigned, when such a specimen—and the extraTURP is a cystoscopic procedure used to alleviate the symptoms of bladder outflow obstruction, usually caused by benign prostatic hypertrophy (BPH). BPH affects 50% of males at 60 years and 90% of 85-year-olds and so TURP is most commonly performed on elderly patients, a population group with a high incidence of cardiac, respiratory and renal ...Naren Nimmagadda, M.D. Holmium laser enucleation of the prostate (HoLEP) is a method for treating benign prostatic hyperplasia, or BPH. Naren Nimmagadda, assistant professor of urology, explains the procedure, which uses a light beam called a holmium laser to remove the interior tissue of the prostate and relieve bladder obstruction.Attach diagnosis code 600.21 (Benign localized hyperplasia of prostate with urinary obstruction and other lower urinary tract symptoms [LUTS]). If it was a bladder neck contracture secondary to previous surgery, such as a previous transurethral resection of the prostate (TURP) or a radical prostatectomy, you should instead report 52640 ... ….

Procedure codes 52351 or 52354 will be denied if billed with procedure code 52601. Procedure code 52601 must be billed for the first TURP and may be billed again if the first TURP is staged with modifier 58. Therefore, procedure code 52601 will no longer be limited to one per lifetime, any provider, because a staged procedure with modifier 58 ...CPT Code 52281. Long description CPT 52281: Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female. Short description: Cystoscopy with dilation of urethral stricture/ stenosis.In the healthcare industry, accurate documentation and coding are crucial for maximizing revenue and ensuring proper reimbursement. One important aspect of this process is the Nati...TURBT CPT code (Transurethral Resection of Bladder Tumor) 52234, 52235, or 52240 bills for when the Physician performs Cystourethroscopy with fulguration (including cryosurgery or laser surgery) and or resection of a small, medium, or large bladder tumor from 0.5 cm to greater than 5 cm. Bladder surgery uses a scope (Cystourethroscopy) to remove …N99.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Oth postprocedural complications and disorders of GU sys The 2024 edition of ICD-10-CM N99.89 became effective on October 1, 2023.Results. The average age of the patients included was 65 ±7.5 years. Mean size of prostate was 45.5±6.8 g and mean stone size was 38.4±4.2 mm.This revision is due to the 2024 Annual/Q1 CPT/HCPCS Code Update and is retroactive effective for dates of service on or after 1/1/24. 01/29/2023. R2. The related Transurethral Waterjet Ablation of the Prostate L38549 LCD is being presented for notice. No changes related to billing and coding were made to this article. 04/01/2021.CPT Code and Modifers Description 90 day Global Period ... 52601 Prostatectomy (turp) 90 52630 Remove prostate regrowth 90 52640 Relieve bladder contracture 90 52647 Laser surgery of prostate 90 ... 53440 Male sling procedure 90 53442 Remove/revise male sling 90 53444 Insert tandem cuff 90This revision is due to the 2024 Annual/Q1 CPT/HCPCS Code Update and is retroactive effective for dates of service on or after 1/1/24. 01/29/2023. R2. The related Transurethral Waterjet Ablation of the Prostate L38549 LCD is being presented for notice. No changes related to billing and coding were made to this article. 04/01/2021. Cpt code turp, Cystolitholapaxy is a minimally invasive procedure surgeons use to break up and remove bladder stones. A cystoscope is a long, thin tube with a camera on the end of it. Your provider inserts a cystoscope into your urethra and into your bladder. The cystoscope shows your surgeon exactly where the stones are in your bladder., Code History. 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM) 2017 (effective 10/1/2016): Revised code New description: Benign prostatic hyperplasia without lower urinary tract symptoms; 2016 description: Enlarged prostate without lower urinary tract symptoms; 2018 (effective 10/1/2017): No change, Save on your password security with Keeper Security promo codes. Get the latest on Keeper Security promo codes, coupons, and May sale on PCWorld. PCWorld’s coupon section is create..., Can anyone help me with this, can we code robotic assisted cpt along with abdominal reconstruction procedures CPT 15734 Code S2900 doesn't list cpt 15734 under Primary px list. Jen says: February 4, 2019 at 1:50 pm. What type of documentation is required to support S2900? If the op-note simply says, "Getting nice secure fit and placed the ..., The Current Procedural Terminology (CPT ®) code 88305 as maintained by American Medical Association, is a medical procedural code under the range - Surgical Pathology Procedures. Subscribe to Codify by AAPC and get the code details in a flash. Request a Demo 14 Day Free Trial Buy Now., ICD-10 code Z48.816 for Encounter for surgical aftercare following surgery on the genitourinary system is a medical classification as listed by WHO un ... Get crucial instructions for accurate ICD-10-CM Z48.816 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code. ... Post op TURP ..., Procedures were identified with Healthcare Common Procedure Coding System (HCPCS) codes (TURP: 52601, 52612, 52614; PUL: 52441, 52442, C9739, C9740; PAE: 37242, 37243) and the International Classification of Diseases (ICD), 9th and 10th revision procedure codes (TURP: 60.29, 0VB07ZZ, 0VB08ZZ). Patients with refractory hematuria as an indication ..., CPT Codes* Required Clinical Information Prostate Surgeries and Interventions ; 37243 ; 52441 . 52442 . 53850 . 55874 . Medical notes documenting the following, when applicable: • Diagnosis, including: o Cancer risk group, including stage of disease ... (TURP) and prostatectomy., a common abbreviation for a transurethral electrosurgery of the prostate is TURP. false. one of the most common conditions of the prostate is BPH. ... code 54699 is the correct code to report an unlisted procedure of the male genital system. ... the correct codes would be 52310 or 52315. what modifier would be applied?-58., The diagnosis code you'll report for the procedure will be 600.01 (Hypertrophy [benign] of prostate with urinary obstruction). Remember: The diagnosis indicating the medical necessity for the green-light laser procedure must be BPH with obstruction (600.01), so you'll need to make sure this is the diagnosis your urologist reported if you want ..., Code it: Report a repeat green light laser with code 52648 or 52649, as there is no special CPT® code for a repeat green light laser vaporization of the prostate, unlike there is for a repeat TURP. Prepare for Potential Post-op Complications. As with any surgery, patients can potentially encounter complications., Prostate gland Enlarge image. Transurethral microwave thermotherapy (TUMT) is an outpatient procedure to treat urinary symptoms caused by an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH). TUMT is generally considered a safe procedure with a low risk of side effects., Bipolar TURP (transurethral resection of the prostate) is a procedure performed by urologists for the treatment of enlarged prostate, most commonly caused by BPH (benign prostatic hyperplasia). Occasionally men with other problems including advanced prostate cancer and bladder cancer that obstruct urinary flow and causing urinary retention can ..., CPT® Code CPT® Code CPT® Code CPT® Code CPT® Code CPT® Code CPT® Code CPT® Code CPT® Code The data in this appendix is based on the OPPS/ASC proposed rule for CY 2024. Please check the CMS website at www.cms.gov for final updates. Codes appearing in this appendix may contain a placeholder "X.", You are correct in questioning the use of CPT code 52310 for this approach to remove a previously placed ureter stent. CPT code 52310 (cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder [separate procedure]; simple)describes removal of a ureteral stent from the urethra or bladder using a cystoscope to directly visualize and grasp the stent ..., A transurethral resection of the prostate (TURP) is surgery to remove parts of the prostate gland through the penis. No cuts (incisions) are needed. The surgeon reaches the prostate by putting a tool (resectoscope) into the end of the penis and through the urethra. This tool is about 12 inches long and a half inch in diameter., Answer: Yes, there are different CPT® codes for vaporization of the prostate gland. Your best code choice will depend on the technology the surgeon utilized for the vaporization. If laser technology, such as the Holmium laser or the KTP, Greenlight laser, is used, report 52648 (Laser vaporization of prostate, including control of postoperative ..., Following an Aquablation ®, bill a follow-up TURP with code 52601 (Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included))., Ever wonder why some airports have unusual airport codes? Here's a look at some of the more unique IATA codes and more about how they came to be. Most International Air Transport A..., You may have options for where you have your outpatient procedure. Compare national average prices for procedures done in both. ambulatory surgical centers. and. hospital outpatient departments. You’ll see how much the patient pays with Original Medicare and no supplement (Medigap) policy. Search by procedure name or. , The indications for TURP after implant were either refractory urinary retention or urinary symptoms which could not be relieved with medical therapy (Stone and Stock, 2002; Flam et al., 2004). Post-implant TURP rates had been reported in 0% to 8.7% of the patients (Cavanagh et al., 2000; Merrick et al., 2003; Potters et al., 2004). Twelve of ..., Learn how to code for transurethral resection of the prostate (TURP) using the Current Procedural Terminology (CPT) codes. The AUA Practice Managers' Network (PMN) offers free subscription, newsletters, discounts and online coding tool for urology practice professionals., The 2019 National Average Medicare physician payment rates have been calculated using a 2019 conversion factor of $36.0391. Rates subject to change. Hospital outpatient payment rates are 2019 Medicare OPPS Addendum B national averages. Source: Centers for Medicare and Medicaid Services. , Prostate Ablation Procedure CPT. ®. Code range 0421T- 0421T. The Current Procedural Terminology (CPT) code range for Category III Codes 0421T-0421T is a medical code set maintained by the American Medical Association., Mar 21, 2024 · Mayo Clinic in Rochester, Minnesota, has been recognized as one of the top Urology hospital in the nation for 2023-2024 by U.S. News & World Report. Your gift can go twice as far to advance cancer research and care! Learn about this procedure used to treat urinary problems caused by an enlarged prostate gland. , This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L38712, Transurethral Waterjet Ablation of the Prostate. Please refer to the LCD for reasonable and necessary requirements. Coding Guidance., Study with Quizlet and memorize flashcards containing terms like What ICD-10 -CM code is reported for carcinoma of the bladder dome?, What is the correct CPT® code for a percutaneous pyelostolithotomy with dilation and basket extraction measuring 1 cm?, Patient is a 40 year-old female presenting for repeat urethral dilation for urethral stricture …, Best answers. 0. Oct 2, 2008. #2. If a pt. of ours is scheduled for a Voiding Trial and an MA, NP or M.D. performs this service then we bill CPT 51700. An E&M service is billabe w/ a modifier 25 if the provider is performing a service above and beyond the work normally done for a VT., code. A valid code may be chosen directly from the tables. A8 All seven characters must be specified to be a valid code. If the documentation is incomplete for coding purposes, the physician should be queried for the necessary information. A9 Within a PCS table, valid codes include all combinations of choices in characters 4, H&E stain. Transurethral resection of the prostate (commonly known as a TURP, plural TURPs, and rarely as a transurethral prostatic resection, TUPR) is a urological operation. It is used to treat benign prostatic hyperplasia (BPH). As the name indicates, it is performed by visualising the prostate through the urethra and removing tissue by ... , Now that you've got a better idea of what constitutes a laser prostatectomy, The National Correct Coding Initiative (NCCI) Policy Manual highlights some of the underlying rules surrounding procedures involving the destruction or removal of prostate tissue: "The CPT® Manual contains many codes (CPT® codes 52601-52649, 53850-53855, 55801 ..., Discover comprehensive information about ICD-10-PCS code 0VT08ZZ - Resection of Prostate, Via Natural or Artificial Opening Endoscopic. Toggle navigation. Search All ICD-10 Toggle Dropdown. ... 2024 ICD-10-PCS Procedure Code 0VT08ZZ; 2024 ICD-10-PCS Procedure Code 0VT08ZZ Resection of Prostate, Via Natural or Artificial Opening Endoscopic., Answer: You should report the following codes: Question: My urologist performed a cystolitholapaxy for a stone sized greater than 2.5cm. They also performed a channel TURP and a bilateral retrograde pyelogram. According to the medical documentation, a bladder stone was attached to the bladder mucosa and the circumferential fashion around the ...