What is the correct way to report a simple laparoscopic prostatectomy?

There is no specific code for a simple laparoscopic prostatectomy. We think your best option is to use one of the codes that are currently used for open simple prostatectomy’s (listed below).

55831 -Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal;

55821 -Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprpubic, subtotal;

The codes currently used to report open simple prostatectomy’s: do not specifically that they have to be performed by an “open” procedure. The approach, open or laparoscopic, is not designated. Therefore the codes could be used to report either approach.

The AUA Coding and Reimbursement Committee recommended using the appropriate code 55831 or 55821 for the reasons stated above. Although the AUA cannot set payment policy for CMS, if you follow their advice you cannot be accused of fraudulent billing.

A second option would be to use an unlisted code.