Robotic Assisted Surgery for the Prostate. Coding Presented by Allison Tanksley, CPC. PSA-Prostate Specific Antigen. Medicare. Commercial Carriers. Diagnostic 84153 790.93 185 V10.46 599.70/599.71 See NCD for medically necessary diagnosis Screening G0103 V76.44
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Robotic Assisted Surgeryfor the Prostate
Coding Presented by
Allison Tanksley, CPC
See NCD for medically necessary diagnosis
Allowed annually-age 50 or older
Watch for eligibility
Radiologic Tissue Marking
Traditional or Open
55840 - Prostatectomy, retropubic radical, with or without nerve sparing
55866-Prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed
38571-Bilateral total pelvic lymphadenectomy
51990-urethral suspension for stress incontinence
Urethral suspension for stress incontinence
March 2012 page 10b
Surgery: Male Genital System
Question: Would you please provide coding clarification for the following scenario: The urologist performs a robotic prostatectomy for the treatment of prostate cancer, and during the same session also performs a laparoscopic robotic Marshall-Marchetti-Krants (MMK) urethropexy procedure to prevent stress incontinence. How are these services reported?
Answer: The robotic prostectomy is reported with code 55866, Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed, AND the laparoscopic robotic MMK urethropexy is reported separately with code 51990, Lapraroscopy, surgical; urethral suspension for stress incontinence, OR code 51992, Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic).