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AVAILABLE CPT CODES For Urology CPT Code Description

38570 38571 38572 38765 38770 38780 49495

Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri -aortic lymph node sampling (biopsy), single or multiple Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure ) Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes(separate procedure ) Repair, initial inguinal hernia, full term infant under age 6 months, or preterm infant over 50 weeks postconception age and under age months at the time of surgery, with or without 6 hydrocelectomy; reducible Repair, initial inguinal hernia, full term infant under age 6 months, or preterm infant over 50 weeks postconception age and under age months at the time of surgery, with or without 6 hydrocelectomy; incarcerated or strangulated Repair initial inguinal hernia, age 6 months to under 5 years, with or without hydrocelectomy; reducible Repair initial inguinal hernia, age 6 months to under 5 years, with or without hydrocelectomy; incarcerated or strangulated Repair initial inguinal hernia, age 5 years or over; reducible Repair initial inguinal hernia, age 5 years or over; incarcerated or strangulated Repair recurrent inguinal hernia, any age; reducible Repair recurrent inguinal hernia, any age; incarcerated or strangulated Renal exploration, not necessitating other specific procedures Nephrostomy, nephrotomy with drainage Nephrotomy, with exploration Nephrolithotomy; removal of calculus Nephrolithotomy; complicated by congenital kidney abnormality Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy ) Percutaneous nephrostolithotomy or pyelostolithotomy, with or without dilation, endoscopy, lithotripsy, stenting, or basket extraction; up to 2 cm Percutaneous nephrostolithotomy or pyelostolithotomy, with or without dilation, endoscopy, lithotripsy, stenting, or basket extraction; over 2 cm Transection or repositioning of aberrant renal vessels (separate procedure) Pyelotomy; with exploration Pyelotomy; with drainage, pyelostomy

49496

49500 49501 49505 49507 49520 49521 50010 50040 50045 50060 50070 50075 50080 50081 50100 50120 50125

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1

AVAILABLE CPT CODES For Urology CPT Code Description

50130 50135 50200 50205 50220 50225 50230 50234 50236 50240 50300 50320 50340 50360 50365 50370 50380 50390 50393 50395 50400 50405

Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy ) Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality) Renal biopsy; percutaneous, by trocar or needle Renal biopsy; by surgical exposure of kidney Nephrectomy, including partial ureterectomy, any open approach including rib resection; Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and /or vena caval thrombectomy Nephrectomy with total ureterectomy and bladder cuff; through same incision Nephrectomy with total ureterectomy and bladder cuff; through separate incision Nephrectomy, partial Donor nephrectomy, with preparation and maintenance of allograft, from cadaver donor, unilateral or bilateral Donor nephrectomy, open from living donor (excluding preparation and maintenance of allograft) Recipient nephrectomy (separate procedure) Renal allotransplantation, implantation of graft; excluding donor and recipient nephrectomy Renal allotransplantation, implantation of graft; with recipient nephrectomy Removal of transplanted renal allograft Renal autotransplantation, reimplantation of kidney Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage andor / injection, percutaneous Introduction of guide into renal pelvis and/or ureter with dilation to establish nephrostomy tract, percutaneous Pyeloplasty (Foley Y -pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple Pyeloplasty (Foley Y -pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital kidney abnormality, secondary pyeloplasty, solitary kid Closure of nephrocutaneous or pyelocutaneous fistula Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach Symphysiotomy for horseshoe kidney with or without pyeloplasty and /or other plastic procedure, unilateral or bilateral (one operation)

50520 50525 50526 50540

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2

AVAILABLE CPT CODES For Urology CPT Code Description

50541 50544 50545 50546 50547 50548 50549 50551 50553

Laparoscopy, surgical; ablation of renal cysts Laparoscopy, surgical; pyeloplasty Laparoscopy, surgical; radical nephrectomy(includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) Laparoscopy, surgical; nephrectomy, including partial ureterectomy Laparoscopy, surgical; donor nephrectomy from living donor (excluding preparation and maintenance of allograft) Laparoscopy, surgical; nephrectomy with total ureterectomy Unlisted laparoscopy procedure, renal Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and /or incision, with or without biopsy Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with insertion of radioactive substance with or without biopsy and/or fulguration Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy, dilation of ureter and ureteral pelvic junction, inc Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with insertion of radioactive substance, with or without biopsy and /or fulguration Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

50555 50557

50559

50561

50570 50572

50574 50575

50576

50578

50580

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3

AVAILABLE CPT CODES For Urology CPT Code Description

50590 50780 50782 50783 50785 50800 50810 50815 50820 50830 50840 50845 50860 50945 50947 50948 50949 50951 50953

Lithotripsy, extracorporeal shock wave Ureteroneocystostomy; anastomosis of single ureter to bladder Ureteroneocystostomy; anastomosis of duplicated ureter to bladder Ureteroneocystostomy; with extensive ureteral tailoring Ureteroneocystostomy; with vesico-psoas hitch or bladder flap Ureteroenterostomy, direct anastomosis of ureter to intestine Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis Ureterocolon conduit, including intestine anastomosis Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy ) Replacement of all or part of ureter by intestine segment, including intestine anastomosis Cutaneous appendico-vesicostomy Ureterostomy, transplantation of ureter to skin Laparoscopy, surgical; ureterolithotomy Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Unlisted laparoscopy procedure, ureter Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and incision, with or /or without biopsy Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with insertion of radioactive substance, with or without biopsy and /or fulguration (not including provi Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;

50955 50957

50959

50961

50970

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4

AVAILABLE CPT CODES For Urology CPT Code Description

50972

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with insertion of radioactive substance, with or without biopsy and /or fulguration (not including provision of mater Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Cystectomy, complete; (separate procedure) Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes Cystectomy, complete, with continent diversion, any open technique, using any segment of s mall and /or large intestine to construct neobladder Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of rectum and colon and colostomy, or any combination ther Endoscopic injection of implant material into the submucosal tissues of the urethra and /or bladder neck Cystoplasty or cystourethroplasty, plastic operation on bladder and vesical neck (anterior /or Y-plasty, vesical fundus resection any procedure, with or without wedge resection of ), posterior vesical neck Cystourethroplasty with unilateral or bilateral ureteroneocystostomy Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple Anterior vesicourethropexy, or urethropexy (eg, Marshall -Marchetti Krantz, Burch); complicated (eg, secondary repair) Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra ) Closure of vesicovaginal fistula, abdominal approach Closure of vesicouterine fistula;

50974 50976

50978

50980 51570 51575 51580 51585 51590 51595

51596 51597

51715 51800

51820 51840 51841 51845 51900 51920

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AVAILABLE CPT CODES For Urology CPT Code Description

51925 51940 51960 51980 51990 51992 52000 52005 52007

Closure of vesicouterine fistula; with hysterectomy Closure, exstrophy of bladder Enterocystoplasty, including intestinal anastomosis Cutaneous vesicostomy Laparoscopy, surgical; urethral suspension for stress incontinence Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Cystourethroscopy (separate procedure) Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service Cystourethroscopy, with biopsy Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 to 2.0 cm) Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor (s) (2.0 to 5.0 cm) Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor (s) Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia Cystourethroscopy, with internal urethrotomy; female Cystourethroscopy, with internal urethrotomy; male Cystourethroscopy with direct vision internal urethrotomy Cystourethroscopy, with resection of external sphincter (sphincterotomy) Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female Cystourethroscopy, with steroid injection into stricture Cystourethroscopy for treatment of the female urethral syndrome with any or all of the

52010 52204 52214 52224 52234 52235 52240 52250 52260 52265 52270 52275 52276 52277 52281 52283 52285

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AVAILABLE CPT CODES For Urology CPT Code Description

following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, lateral incisions of the bladder neck, and fulguration 52290 52300 52301 52305 52310 52315 52317 52318 52320 52325 52327 52330 52332 52334 52341 52342 52343 52344 52345 52346 52351 52352 Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Cystourethroscopy; with resection or fulguration of orthotopic ureteroceles), unilateral or ( bilateral Cystourethroscopy; with resection or fulguration of ectopic ureterocele unilateral or (s), bilateral Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure; simple ) Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure; complicated ) Litholapaxy : crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) Litholapaxy : crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus Cystourethroscopy(including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) Cystourethroscopy(including ureteral catheterization); with subureteric injection of implant material Cystourethroscopy(including ureteral catheterization); with manipulation, without removal of ureteral calculus Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision ) Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision ) Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Cystourethroscopy, with ureteroscopy and pyeloscopy; with removal or manipulation of /or calculus (ureteral catheterization is included)

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7

AVAILABLE CPT CODES For Urology CPT Code Description

52353 52354 52355 52400 52450 52500 52601

Cystourethroscopy, with ureteroscopy and pyeloscopy; with lithotripsy (ureteral /or catheterization is included) Cystourethroscopy, with ureteroscopy and pyeloscopy; with biopsy and/or fulguration of /or ureteral or renal pelvic lesion Cystourethroscopy, with ureteroscopy and pyeloscopy; with resection of ureteral or renal /or pelvic tumor Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds Transurethral incision of prostate Transurethral resection of bladder neck (separate procedure) Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included ) Transurethral fulguration for postoperative bleeding occurring after the usual follow-up time Transurethral resection of prostate; first stage of two-stage resection (partial resection) Transurethral resection of prostate; second stage of two-stage resection (resection completed) Transurethral resection; of residual obstructive tissue after 90 days postoperative Transurethral resection; of regrowth of obstructive tissue longer than one year postoperative Transurethral resection; of postoperative bladder neck contracture Non-contact laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included) Contact laser vaporization with or without transurethral resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included ) Biopsy of urethra Urethrectomy, total, including cystostomy; female Urethrectomy, total, including cystostomy; male Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Urethroplasty; second stage (formation of urethra), including urinary diversion Urethroplasty, one-stage reconstruction of male anterior urethra Urethroplasty, transpubic or perineal, one stage, for reconstruction or repair of prostatic or membranous urethra Urethroplasty, two-stage reconstruction or repair of prostatic or membranous urethra; first stage Urethroplasty, two-stage reconstruction or repair of prostatic or membranous urethra; second stage Urethroplasty, reconstruction of female urethra

52606 52612 52614 52620 52630 52640 52647

52648

53200 53210 53215 53400 53405 53410 53415 53420 53425 53430

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8

AVAILABLE CPT CODES For Urology CPT Code Description

53431 53440 53442 53445 53447 53450 53460 53502 53505 53510 53515 53520 54015 54050 54055 54056 54057 54060 54065 54100 54105 54110 54111 54112 54115 54120 54125

Urethroplasty with tubularization of posterior urethra and lower bladder for incontinence /or (eg, Tenago, Leadbetter procedure) Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session Urethromeatoplasty, with mucosal advancement Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) Urethrorrhaphy, suture of urethral wound or injury, female Urethrorrhaphy, suture of urethral wound or injury; penile Urethrorrhaphy, suture of urethral wound or injury; perineal Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Incision and drainage of penis, deep Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery ) Biopsy of penis; (separate procedure) Biopsy of penis; deep structures Excision of penile plaque (Peyronie disease); Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Removal foreign body from deep penile tissue (eg, plastic implant) Amputation of penis; partial Amputation of penis; complete

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9

AVAILABLE CPT CODES For Urology CPT Code Description

54130 54135 54308 54312 54316 54318 54322 54324 54326 54328

Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes Urethroplasty for second stage hypospadias repair (including urinary diversion ); less than 3 cm Urethroplasty for second stage hypospadias repair (including urinary diversion ); greater than 3 cm Urethroplasty for second stage hypospadias repair (including urinary diversion ) with free skin graft obtained from site other than genitalia Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair ) One stage distal hypospadias repair (with or without chordee or circumcision ); with simple meatal advancement (eg, Magpi, V -flap) One stage distal hypospadias repair (with or without chordee or circumcision ); with urethroplasty by local skin flaps (eg, flip -flap, prepucial flap) One stage distal hypospadias repair (with or without chordee or circumcision ); with urethroplasty by local skin flaps and mobilization of urethra One stage distal hypospadias repair (with or without chordee or circumcision ); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap One stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and island flap /or Insertion of penile prosthesis; non-inflatable (semi-rigid) Insertion of penile prosthesis; inflatable (self-contained) Insertion of multi -component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir Removal of all components of a multi -component, inflatable penile prosthesis without replacement of prosthesis Repair of component(s) of a multi-component, inflatable penile prosthesis Removal and replacement of all component (s) of a multi-component, inflatable penile prosthesis at the same operative session Removal of non-inflatable (semi -rigid ) or inflatable (self-contained penile prosthesis, without ) replacement of prosthesis Removal and replacement of non-inflatable (semi -rigid ) or inflatable (self-contained penile ) prosthesis at the same operative session Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral Corpora cavernosa -glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism Plastic operation of penis for injury Biopsy of testis, needle (separate procedure)

54332 54400 54401 54405 54406 54408 54410 54415 54416 54420 54430 54435 54440 54500

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10

AVAILABLE CPT CODES For Urology CPT Code Description

54505 54512 54520 54522 54530 54535 54550 54560 54600 54620 54640 54650 54660 54670 54680 54690 54692 54699 54700 54800 54820 54830 54840 54860 54861 54900 54901 55000 55040 55041 55060

Biopsy of testis, incisional (separate procedure) Excision of extraparenchymal lesion of testis Orchiectomy, simple (including subcapsular, with or without testicular prosthesis, scrotal or ) inguinal approach Orchiectomy, partial Orchiectomy, radical, for tumor; inguinal approach Orchiectomy, radical, for tumor; with abdominal exploration Exploration for undescended testis (inguinal or scrotal area) Exploration for undescended testis with abdominal exploration Reduction of torsion of testis, surgical, with or without fixation of contralateral testis Fixation of contralateral testis (separate procedure) Orchiopexy, inguinal approach, with or without hernia repair Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Insertion of testicular prosthesis (separate procedure) Suture or repair of testicular injury Transplantation of testis(es) to thigh (because of scrotal destruction) Laparoscopy, surgical; orchiectomy Laparoscopy, surgical; orchiopexy for intra-abdominal testis Unlisted laparoscopy procedure, testis Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) Biopsy of epididymis, needle Exploration of epididymis, with or without biopsy Excision of local lesion of epididymis Excision of spermatocele, with or without epididymectomy Epididymectomy; unilateral Epididymectomy; bilateral Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication Excision of hydrocele; unilateral Excision of hydrocele; bilateral Repair of tunica vaginalis hydrocele (Bottle type)

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11

AVAILABLE CPT CODES For Urology CPT Code Description

55100 55110 55120 55150 55175 55180 55200 55250 55400 55450 55500 55520 55530 55535 55540 55550 55559 55700 55801 55810 55812 55815 55840 55842 55845 55859 55862 55865

Drainage of scrotal wall abscess Scrotal exploration Removal of foreign body in scrotum Resection of scrotum Scrotoplasty; simple Scrotoplasty; complicated Vasotomy, cannulization with or without incision of vas, unilateral or bilateral procedure) (separate

Vasectomy, unilateral or bilateral (separate procedure, including postoperative semen ) examination (s) Vasovasostomy, vasovasorrhaphy Ligation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) Excision of hydrocele of spermatic cord, unilateral (separate procedure) Excision of lesion of spermatic cord (separate procedure) Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair Laparoscopy, surgical, with ligation of spermatic veins for varicocele Unlisted laparoscopy procedure, spermatic cord Biopsy, prostate; needle or punch, single or multiple, any approach Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and /or dilation, and internal urethrotomy ) Prostatectomy, perineal radical; Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes Prostatectomy, retropubic radical, with or without nerve sparing; Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy (s) (limited pelvic lymphadenectomy ) Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) ( limited pelvic lymphadenectomy ) Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic

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AVAILABLE CPT CODES For Urology CPT Code Description

lymphadenectomy, including external iliac, hypogastric and obturator nodes 55873 55899 55970 55980 57220 57230 57240 57288 57289 57310 57311 57320 57330 57335 76872 76942 77776 77777 77778 Cryosurgical ablation of the prostate (includes ultrasonic guidance for interstitial cryosurgical probe placement) Unlisted procedure, male genital system Intersex surgery; male to female Intersex surgery; female to male Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) Plastic repair of urethrocele Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele Sling operation for stress incontinence (eg, fascia or synthetic) Pereyra procedure, including anterior colporrhaphy Closure of urethrovaginal fistula; Closure of urethrovaginal fistula; with bulbocavernosus transplant Closure of vesicovaginal fistula; vaginal approach Closure of vesicovaginal fistula; transvesical and vaginal approach Vaginoplasty for intersex state Echography, transrectal; Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation Interstitial radiation source application; simple Interstitial radiation source application; intermediate Interstitial radiation source application; complex

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