2025 CPT code 55840
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Male Genital System Feed
Radical retropubic prostatectomy, with or without nerve sparing.
Modifiers such as -22 (Increased Procedural Services), -52 (Reduced Services), etc. may be applicable depending on the specific circumstances.
Medical necessity is established by a confirmed diagnosis of prostate cancer or other conditions requiring prostatectomy.
The surgeon is responsible for performing the procedure, managing complications, and post-operative care.
In simple words: The surgeon removes the entire prostate gland and some nearby tissues through a cut in the lower belly. They may try to protect the nerves that control erections.
This procedure involves the complete removal of the prostate gland and some surrounding tissue, including the seminal vesicles, through an incision in the lower abdomen. The surgeon may or may not preserve the nerves responsible for erectile function (nerve-sparing).
Example 1: A 65-year-old male with localized prostate cancer undergoes a radical retropubic prostatectomy with nerve sparing., A 70-year-old male with prostate cancer that has not responded to radiation therapy undergoes a radical retropubic prostatectomy without nerve sparing., A 55-year-old male with locally advanced prostate cancer undergoes a radical retropubic prostatectomy with pelvic lymph node dissection.
Pre-operative diagnosis, operative report detailing the procedure including nerve sparing status, and post-operative diagnosis.
** Information provided is current as of December 1, 2024. For the most up-to-date coding information and guidelines, always refer to current CPT manuals and payer-specific policies.
- Global Days : Global Days: 90
- Specialties:Urology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center