2025 CPT code 55812
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Male Genital System Surgery Feed
Radical perineal prostatectomy with limited pelvic lymph node biopsy.
Modifiers may be applicable, such as -22 (Increased Procedural Services) for unusually complex cases or -59 (Distinct Procedural Service) if performed in conjunction with other procedures.
Medical necessity for 55812 is established by a confirmed diagnosis of prostate cancer requiring surgical intervention. Factors considered include cancer stage, patient's overall health, and treatment goals.
The surgeon makes an inverted U-shaped incision in the perineum after the patient is prepped and anesthetized. The rectum is separated from the back of the prostate. The prostate gland, vas deferens, and seminal vesicles are removed. Surrounding tissues and lymph nodes are excised to create a clear margin. Specimens are sent to a lab, a catheter is inserted into the bladder, the area is irrigated, and the incision is closed.
In simple words: The doctor removes the prostate gland through a cut made between the scrotum and the anus to treat prostate cancer.Nearby tissue and lymph nodes are also removed to make sure all the cancer is gone. The removed lymph nodes are examined in a lab.
This procedure involves the complete removal of the prostate gland through an incision made in the perineum (the area between the scrotum and the anus).This is done to treat prostate cancer. Surrounding tissues and nearby lymph nodes are also removed to ensure complete excision of the cancerous tissue. The lymph nodes are then sent for laboratory analysis.
Example 1: A 65-year-old male is diagnosed with localized prostate cancer (Gleason score 3+4=7) confined to the prostate. He opts for a radical perineal prostatectomy as a definitive treatment., A 70-year-old male with early-stage prostate cancer is deemed a high-risk surgical candidate for a retropubic approach due to pre-existing medical conditions. He chooses a radical perineal prostatectomy due to the shorter surgical time and lower risk of complications., A 55-year-old male with a small, well-defined prostate cancer and a strong desire to preserve sexual function is offered a nerve-sparing radical perineal prostatectomy.
Diagnosis of prostate cancer, including stage and Gleason score. Operative report detailing the procedure, including extent of resection, lymph node biopsy, and any complications. Pathology report confirming the diagnosis and margin status.
** While this procedure can include limited pelvic lymph node biopsy, a more extensive lymphadenectomy would be coded separately (e.g., 38562).
- Revenue Code: P1G - Major Procedure - Other
- Payment Status: Active
- Specialties:Urology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center