2025 CPT code 53025
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Meatotomy, cutting of meatus; infant.
Modifiers may be applicable to indicate specific circumstances, such as increased procedural services (22) or multiple procedures (51).
Meatotomy is medically necessary when meatal stenosis causes significant urinary symptoms, such as difficulty voiding, a weak or deflected stream, recurrent urinary tract infections, or incomplete bladder emptying.
The physician prepares and anesthetizes the infant, makes an incision to enlarge the urethral meatus, may dilate the opening, controls bleeding, and closes the incision.
In simple words: A small cut is made to enlarge the opening at the tip of the penis in a baby boy to help him urinate more easily.
This procedure involves enlarging the urethral meatus (the opening at the tip of the penis) in an infant (younger than one year old) to improve urination. The procedure typically involves creating a small incision on the ventral side of the urethral meatus, potentially extending it to widen the opening, followed by dilation and closure of the incision.
Example 1: A 6-month-old male infant presents with a narrow urethral opening, causing difficulty urinating and a deflected urine stream. A meatotomy is performed to widen the meatus., Following a circumcision, a 3-month-old male infant experiences spraying urine and difficulty voiding. The pediatrician diagnoses meatal stenosis and performs a meatotomy., An 8-month-old male infant has a history of recurrent urinary tract infections attributed to a constricted urethral meatus. A meatotomy is performed to enlarge the opening and prevent further infections.
Documentation should include the infant's age, the presence of meatal stenosis, the surgical technique used, any complications encountered, and post-operative instructions.
** This code is specific to infants under one year of age. For patients older than one year, use code 53020.
- Revenue Code: P1G
- Payment Status: Active
- Specialties:Pediatric Urology, Urology, Pediatrics
- Place of Service:Ambulatory Surgical Center, Hospital - Outpatient, Office