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The CPT® Code 53275 refers to the surgical procedure for the excision or fulguration of a urethral prolapse. A urethral prolapse occurs when the urethra, the tube that carries urine from the bladder to the outside of the body, protrudes through the vaginal opening. This condition can lead to various symptoms, including discomfort, urinary incontinence, and difficulty urinating. Several surgical techniques are available to address this issue, with the Lowe technique and the Kelly-Burnham technique being two commonly employed methods. The Lowe technique involves performing a meatotomy, which is an incision made to relieve constriction at the meatal ring, followed by manual reduction of the prolapsed mucosa. The urethra and mucosa are then secured to the surrounding tissue using multiple mattress sutures. In contrast, the Kelly-Burnham technique utilizes a Foley catheter placed transurethrally to assist in excising the prolapsed mucosa circumferentially. The edges of the urethral and introital mucosa are then approximated and closed with interrupted sutures. This technique can be further modified by creating quadrants around the urethra with holding sutures before excising the mucosa in sections. Additionally, fulguration, which includes methods such as electrocautery, electroresection, or laser destruction, can be employed to remove the prolapsed urethral mucosa by destroying the abnormal tissue with heat generated from an electrocautery device or laser.
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The procedure coded as CPT® 53275 is indicated for the treatment of urethral prolapse, which may present with various symptoms and conditions. The following are the explicitly provided indications for performing this procedure:
The procedure for CPT® 53275 involves several key steps, which can vary depending on the technique employed. Below are the detailed procedural steps:
Post-procedure care following the excision or fulguration of a urethral prolapse typically involves monitoring for any complications such as bleeding or infection. Patients may be advised to avoid strenuous activities and heavy lifting for a specified period to promote healing. Follow-up appointments are essential to assess the surgical site and ensure proper recovery. Additionally, patients may receive instructions regarding urinary care and any necessary medications to manage pain or prevent infection.
| Short Descr | REPAIR OF URETHRA DEFECT | Medium Descr | EXCISION/FULGURATION URETHRAL PROLAPSE | Long Descr | Excision or fulguration; urethral prolapse | Status Code | Active Code | Global Days | 010 - Minor Procedure | 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) | P5E - Ambulatory procedures - other | MUE | 1 | CCS Clinical Classification | 109 - Procedures on the urethra |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 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.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | SA | Nurse practitioner rendering service in collaboration with a physician | SG | Ambulatory surgical center (asc) facility service | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| Pre-1990 | Added | Code added. |
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