CPT® Code 0550T

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The CPT® Code 0550T refers to the removal of a transperineal periurethral balloon continence device, specifically addressing each balloon involved in the procedure. This device is primarily utilized for men experiencing urinary incontinence, particularly following prostate surgery or radiation therapy. The purpose of the device is to restore normal pelvic pressure and urinary continence, which can be significantly affected by these medical interventions. The procedure involves the use of a cystoscope, which is a specialized instrument that allows visualization of the urethra and bladder. A sharp-tipped trocar and sheath are utilized to create a small incision in the perineum, facilitating access to the pelvic floor. Under fluoroscopic guidance, the trocar and sheath are carefully inserted and advanced to the bladder level. Once the device is in place, the balloon is inflated to secure it, and the sheath is subsequently removed. The procedure may be bilateral, requiring repetition on the opposite side if necessary. After a recovery period, adjustments to the balloon volume can be made through a needle access point in the perineum. The removal of the device involves deflating the balloon, making an incision, and carefully dissecting the device from surrounding tissues. This comprehensive approach ensures that the procedure is performed safely and effectively, addressing the needs of patients dealing with urinary incontinence.