2025 CPT code 55866
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Male Genital System Feed
Laparoscopic radical prostatectomy, including nerve sparing, with robotic assistance.
Modifiers may be applicable. Common modifiers include 22 (Increased Procedural Services), 51 (Multiple Procedures), and others as appropriate.
Medical necessity for 55866 is established by a confirmed diagnosis of prostate cancer requiring surgical intervention.
The surgeon performs the laparoscopic radical prostatectomy, managing pre-operative, intra-operative, and post-operative care.
In simple words: The surgeon removes the prostate and nearby structures through small incisions using a camera and special instruments, sometimes with the help of a robot.This approach is less invasive than traditional open surgery.
Laparoscopic radical prostatectomy involves the removal of the entire prostate gland, seminal vesicles, and vas deferens using a laparoscopic approach, often with robotic assistance.Nerve-sparing techniques may be employed to preserve erectile function.This procedure is typically performed for prostate cancer.
Example 1: A 65-year-old male diagnosed with localized prostate cancer undergoes a laparoscopic radical prostatectomy with nerve-sparing technique using robotic assistance., A 70-year-old male with high-risk prostate cancer undergoes a laparoscopic radical prostatectomy with extended pelvic lymph node dissection., A 55-year-old male with locally advanced prostate cancer undergoes neoadjuvant therapy followed by laparoscopic radical prostatectomy.
Documentation should include operative report detailing the surgical approach, nerve sparing status, lymph node dissection (if performed), and any complications. Pathology report confirming prostate cancer diagnosis and staging is also required.
- Revenue Code: P1G - MAJOR PROCEDURE - OTHER
- Specialties:Urology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center