COMMON CPT CODES FOR ADULT INDEX PROCEDURES Cystoscopy 52000 Cystourethroscopy 52005 Cystourethroscopy with retrograde urography 52204 Cystourethroscopy, with biopsy 52224 TURBT (lesions <0.5 cm) 52276 Cystourethroscopy, with direct vision internal urethrotomy 52281 Cystourethroscopy, with dilation of urethral stricture 52310 Cystourethroscopy, with removal of ureteral stent, foreign body or calculus from bladder (simple) 52317 Litholapaxy in bladder (simple or <2.5 cm) 52318 Litholapaxy in bladder (complic., >2.5 cm) 52332 Cystourethroscopy with insertion of indwelling ureteral catheter ESWL -- 50590 ESWL Female incontinence 51840 Anterior vesicourethropexy or urethropexy (eg, Marshall-Marchetti-Krantz, Burch) -- simple 51845 Abdomino-vaginal vesical neck suspension (eg, Stamey, Raz, modified Pereyra) 57288 Sling operation for stress incontinence (eg, fascia or synthetic) 57320 Closure of vesicovaginal fistula, vaginal approach 57330 Closure of vesicovaginal fistula, transvesical and vaginal approach Laparoscopy, other -- pls see other categories Lymphadenectomy, retroperitoneal 38780 RPLND Lymphadenectomy, pelvic 38770 Pelvic lymphadenectomy 38571 Laparoscopic pelvic lymphadenectomy – bilateral and total Renal surgery 50220 Nephrectomy with partial ureterectomy 50230 Nephrectomy with partial ureterectomy, with lymph node dissection and/or venal caval thrombectomy 50236 Nephrectomy with total ureterectomy and bladder cuff; through separate (second) incision 50240 Partial nephrectomy 50320 Donor nephrectomy (open), living donor 50360 Renal allotransplantation, implantation of graft, excl. donor or recipient nephrectomy 50400 Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis – simple 50405 Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis – complex 50546 Laparoscopic nephrectomy 50547 Laparoscopic donor nephrectomy from living donor 50548 Laparoscopically-assisted nephroureterectomy Penile surgery (excluding circumcision) 54100 Biopsy of penis 54120 Partial penectomy 54400 Insertion of non-inflatable (semi-rigid) penile prosthesis 54401 Insertion of inflatable (self-contained) penile prosthesis 54402 Removal or replacement of noninflatable (semi-rigid) or inflatable (selfcontained) penile prosthesis 54405 Insertion of inflatable (multi-component) penile prosthesis 54407 Removal, repair or replacement of inflatable (multi-component) penile prosthesis Percutaneous renal surgery 50080 PCNL (<2.0 cm) 50081 PCNL (>2.0 cm) Prostatectomy, radical 55840 Retropubic radical 55845 Retropubic radical with bilateral pelvic lymph node dissection 55810 Perineal radical 55815 Perineal radical with bilateral pelvic lymph node dissection Radical cystectomy 51590 Cystectomy with ureteroileal conduit 51595 Cystectomy with ureteroileal conduit, with bilateral pelvic lymph node dissection 51596 Cystectomy with continent diversion Scrotal surgery 54500 Biopsy of testis, needle 54505 Biopsy of testis, incisional 54530 Orchiectomy, radical, for tumor – inguinal approach 54660 Insertion of testicular prosthesis 54600 Reduction (surgical) of testis torsion 54800 Biopsy of epididymis, needle 54900 Epididymovasostomy (unilateral) 55040 Excision of hydrocele (unilateral) 55250 Vasectomy (unilateral or bilateral) 55400 Vasovasostomy 55530 Excision of varicocele or ligation of spermatic veins for varicocele Transrectal ultrasound / Prostate biopsy 55700 Needle bx of prostate, single or multiple 55859 Transperineal catheter placement into prostate for brachytherapy 76872 Echography, transrectal Transurethral prostate surgery 52450 TUIP 52601 TURP (simple) 52648 Contact laser vaporization of prostate Transurethral resection, bladder tumor (lesions <0.5 cm listed under cystoscopy) 52351 TURBT (lesions 0.5-2.0 cm) 52352 TURBT (lesions 2.0-5.0 cm) 52353 TURBT (lesions >5.0 cm) Ureteroscopy 52335 Cystourethroscopy with ureteroscopy and/or pyeloscopy 52336 Cystourethroscopy with ureteroscopy and/or pyeloscopy, with removal or manipulation of calculus (incl. ureteral stent) 52337 Cystourethroscopy with ureteroscopy and/or pyeloscopy, with lithotripsy (includes ureteral stent) Urethroplasty / Urethral surgery 53200 Biopsy of urethra 53210 Total urethrectomy, female 53215 Total urethrectomy, male 53410 Urethroplasty, one-stage, of male anterior urethra 53445 Operation for correction of urinary incontinence with placement of inflatable urethral or bladder neck sphincter 53447 Removal, repair or replacement of inflatable urethral or bladder neck sphincter Urinary Diversion 50800 Ureteroenterostomy, direct anastomosis of ureter to intestine 51590 Cystectomy with ureteroileal conduit 51595 Cystectomy with ureteroileal conduit, with bilateral pelvic lymph node dissection 51596 Cystectomy with continent diversion COMMON CPT CODES FOR PEDIATRIC INDEX CASES Bladder augmentation 51960 Enterocystoplasty, including bowel anastomosis Hydrocelectomy, herniorrhaphy 49495 Repair initial inguinal hernia (age <6mo), reducible 49500 Repair initial inguinal hernia (age 6mo – 5yrs), reducible 49505 Repair initial inguinal hernia (age >5yrs), reducible 55040 Excision of hydrocele (unilateral) Hypospadias 54322 One stage distal hypospadias repair with simple meatal advance (eg, Magpi, V-flap) 54324 One stage distal hypospadias repair with urethroplasty by local skin flaps (eg, flipflap, prepucial flap) 54326 One stage distal hypospadias repair with urethroplasty by local skin flaps and mobilization of urethra 54328 One stage distal hypospadias repair with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch and/or island flap 54332 One stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap Orchiopexy 54560 Abdominal exploration for undescended testis 54640 Orchiopexy, inguinal approach, w/ or w/o hernia repair 54650 Orchiopexy, abdominal approach, for intra-abdominal tes tis (eg, Fowler-Stephens) 54692 Laparoscopy, surgical; orchiopexy for intra-abdominal testis Renal surgery 50220 Nephrectomy with partial ureterectomy 50240 Partial nephrectomy 50320 Donor nephrectomy (open), living donor 50360 Renal allotransplantation, implantation of graft, excluding donor or recipient nephrectomy Pyeloplasty 50400 Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis – simple 50405 Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis – complex Ureteroneocystostomy (UNC) 50780 UNC, anast. of single ureter to bladder 50782 UNC, anast. of duplic. ureter to bladder 50783 UNC, with extensive ureteral tailoring Urinary diversion 50800 Ureteroenterostomy, direct anastomosis of ureter to intestine 50845 Cutaneous appendico-vesicostomy 51980 Cutaneous vesicostomy Note: This is a partial list of the index cases for urology and their corresponding CPT codes. Please see the complete CPT code listings at the ACGME USOL website for details of each procedure. Compiled June 2001