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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.
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The procedure described by CPT® Code 52647 is indicated for the treatment of various conditions affecting the prostate gland. The following are explicitly provided indications for performing laser coagulation of the prostate:
The procedure for laser coagulation of the prostate involves several critical steps, each designed to ensure effective treatment while maintaining patient safety. The following procedural steps are included:
After the completion of the laser coagulation procedure, patients are typically monitored for any immediate postoperative complications. The Foley catheter remains in place for a specified duration to ensure proper urinary drainage and to allow the surgical site to heal. Patients may experience some discomfort, which can be managed with prescribed pain relief medications. Follow-up appointments are essential to assess recovery, monitor for any potential complications, and evaluate the effectiveness of the procedure. It is important for patients to adhere to postoperative care instructions provided by their healthcare provider to promote optimal healing and recovery.
| Short Descr | LASER SURGERY OF PROSTATE | Medium Descr | LASER COAGULATION OF PROSTATE FOR URINE FLOW | Long Descr | 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) | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1D - Major procedure - turp | MUE | 1 | CCS Clinical Classification | 118 - Other OR therapeutic procedures, male genital |
| 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| 2006-01-01 | Changed | Code description changed. |
| 1995-01-01 | Added | First appearance in code book in 1995. |
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