2025 CPT code 52601
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Transurethral electrosurgical resection of the prostate, including control of postoperative bleeding.
Modifiers such as 51 (multiple procedures), 58 (staged procedure), 78 (unplanned return to OR), and others may be applicable depending on the specific circumstances.
Medical necessity is established by documentation of significant urinary symptoms (e.g., urinary retention, frequency, urgency, nocturia) caused by BPH, which are unresponsive to conservative management.The procedure must be deemed medically appropriate for the patient's clinical situation.
The urologist performs the TURP, including insertion of the resectoscope, resection of prostate tissue, hemostasis, and any necessary ancillary procedures like meatotomy or urethral dilation. Pre- and postoperative care may be billed separately.
In simple words: This surgery removes a part of the enlarged prostate gland through the urethra (the tube that carries urine). A special tool is used to cut away the extra tissue causing problems with urination.Other small procedures done as part of this are not billed separately.
Transurethral electrosurgical resection of the prostate (TURP) involves inserting a resectoscope through the urethra to remove excess prostate tissue that obstructs urine flow.The procedure includes cystoscopy, meatotomy, urethral dilation, and internal urethrotomy as integral parts; these are not separately reportable.Postoperative bleeding control is also included.
Example 1: A 70-year-old male presents with significant urinary retention and difficulty voiding due to benign prostatic hyperplasia (BPH).A TURP is performed to relieve the obstruction., A 65-year-old male with BPH has failed conservative medical management.A TURP is chosen as the definitive surgical intervention., A 75-year-old male experiences acute urinary retention requiring catheterization.A TURP is recommended to alleviate the obstruction and prevent future episodes.
* Preoperative assessment including patient history, physical examination, and diagnostic imaging (e.g., ultrasound, uroflowmetry).* Operative report detailing the procedure, including tissue removed and any complications encountered.* Postoperative assessment and follow-up notes.* Pathology report if tissue is sent for analysis.
** The duration of the procedure is a critical factor.Procedures exceeding 90 minutes may necessitate alternative approaches, such as open prostatectomy.
- Revenue Code: P1D (Major Procedure - TURP)
- RVU: Information not available in source.Refer to current Medicare Physician Fee Schedule for RVU values.
- Global Days: Information not available in source.Consult current CPT guidelines and payer-specific policies for global period details.
- Payment Status: Active
- Modifier TC rule: Information not provided in source. Consult current CPT guidelines and payer specific rules for TC modifier application.
- Fee Schedule: Information not provided in source. Refer to historical CPT fee schedules.
- Specialties:Urology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Office