CPT® Code 52647

Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included if performed)

A complete laser coagulation of the prostate, as described by CPT® Code 52647, involves a minimally invasive surgical procedure aimed at treating conditions affecting the prostate gland. This procedure is commonly referred to as transurethral ultrasound-guided laser prostatectomy (TULIP) or free-fiber visually guided laser ablation of the prostate (VLAP). The primary goal of this intervention is to coagulate prostate tissue, leading to the gradual sloughing of necrotic tissue, which can alleviate symptoms associated with prostate enlargement or other related conditions. The procedure includes comprehensive control of postoperative bleeding, ensuring that any bleeding that may occur during or after the surgery is effectively managed. During the procedure, a cystourethroscope is utilized to gain access to the urethra, allowing for endoscopic examination of both the urethra and bladder, with particular focus on the prostatic region. This thorough examination may necessitate additional interventions such as vasectomy, meatotomy, cystourethroscopy, urethral calibration, urethral dilation, and internal urethrotomy, all of which are included in the scope of this procedure if performed. The laser coagulation process involves the precise application of laser energy to the prostate tissue, which is carefully monitored to ensure effective treatment while minimizing damage to surrounding structures. Overall, this procedure represents a significant advancement in the management of prostate-related conditions, offering patients a less invasive option with potentially quicker recovery times compared to traditional surgical methods.