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2025 CPT code 52700

Transurethral drainage of prostatic abscess.

For provision of chemotherapeutic agents, report both the specific service in addition to code(s) for the specific substance(s) or drug(s) provided.

Modifiers may be applicable to this code. For specific modifier usage guidelines, refer to current CPT coding manuals.

Medical necessity for this procedure is established by the presence of a symptomatic prostatic abscess.Documentation should support the diagnosis and the need for drainage.

The physician preps and anesthetizes the patient, inserts a cystourethroscope, examines the urethra and bladder, locates the abscess, inserts a needle to puncture and drain the abscess, controls bleeding, and removes the cystoscope.

IMPORTANT:(For litholapaxy, use 52317, 52318)

In simple words: The doctor drains a pus-filled pocket in the prostate gland using a small tube inserted through the urinary opening. The procedure uses a camera to see inside, a needle to drain the pus, and a tool to stop any bleeding.

This procedure involves draining a prostatic abscess through the urethra.After anesthesia, a cystourethroscope is inserted through the urethra to examine the urethra and bladder. The cystoscope is advanced to locate the abscess in the prostate. A needle is then inserted to puncture the abscess and aspirate the pus.Bleeding is controlled with electrocauterization, and the cystoscope is removed.

Example 1: A patient presents with fever, dysuria, and perineal pain.A digital rectal exam reveals a tender prostate. Imaging confirms a prostatic abscess.Transurethral drainage is performed., A patient with a history of recurrent urinary tract infections develops acute urinary retention. Imaging reveals a prostatic abscess.Transurethral drainage of the abscess is performed to relieve the obstruction., A patient undergoing prostate biopsy develops a post-procedural infection and abscess formation. Transurethral drainage is chosen to manage the abscess.

Documentation should include details of the presenting symptoms, physical exam findings, imaging results confirming the presence and location of the abscess, the drainage procedure itself, and any associated complications.

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