CPT® Code 53866

Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate

The procedure described by CPT® Code 53866 involves the removal of a temporary ischemic remodeling device that has been used to treat conditions related to the bladder neck and prostate, specifically for cases of pressure necrosis. This device is designed to apply pressure to the prostatic urethra, effectively reshaping and widening it to facilitate improved urine outflow. This is particularly beneficial for patients experiencing symptoms associated with benign prostatic hyperplasia (BPH), a condition characterized by an enlarged prostate that can obstruct urinary flow. The device is typically implanted for a duration of five to seven days, during which it exerts pressure to remodel the affected area. Prior to the removal of the device, topical intraurethral lidocaine jelly is applied to minimize discomfort during the procedure. The removal process involves the use of a retrieval grasper and a retrieval suture, ensuring that the device is extracted safely and effectively through the urethra. This procedure is crucial for alleviating urinary symptoms and restoring normal urinary function in patients suffering from BPH-related complications.