480 Urology Cpts

AVAILABLE CPT CODES BY AREA AND TYPE For Urology
CYSTOSCOPY
CYSTOSCOPY
CPT Code
0084T
50385
52000
52001
52005
52007
52010
52204
52214
52250
52260
52265
52270
52275
52276
52277
52281
52282
52283
52285
52290
52305
52310
52315
52317
52318
52332
52334
Technique
Description
Insertion of a temporary prostatic urethral stent

Removal (via snare/capture) and replacement of internally dwelling ureteral stent via
transurethral approach, without use of cystoscopy, including radiological supervision and
interpretation
Cystourethroscopy (separate procedure)
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or
ureteropyelography, exclusive of radiologic service;
ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal
pelvis
Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation,
instillation, or duct radiography, exclusive of radiologic service
Cystourethroscopy, with biopsy(s)
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone,
bladder neck, prostatic fossa, urethra, or periurethral glands
Cystourethroscopy with insertion of radioactive substance, with or without biopsy or
fulguration
Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction
(spinal) anesthesia
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia
Cystourethroscopy, with internal urethrotomy; female
Cystourethroscopy, with internal urethrotomy; male
Cystourethroscopy with direct vision internal urethrotomy
Cystourethroscopy, with resection of external sphincter (sphincterotomy)
Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or
without meatotomy, with or without injection procedure for cystography, male or female
Cystourethroscopy, with insertion of permanent urethral stent
Cystourethroscopy, with steroid injection into stricture
Cystourethroscopy for treatment of the female urethral syndrome with any or all of the
following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of
urethrovaginal septal fibrosis, lateral incisions of the bladder neck, and fulguration of
polyp(s) of urethra, bladder neck, and/or trigone
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or
multiple
Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or
bladder (separate procedure); simple
bladder (separate procedure); complicated
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of
fragments; simple or small (less than 2.5 cm)
fragments; complicated or large (over 2.5 cm)
Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a
percutaneous nephrostomy, retrograde
2012 Accreditation Council for Graduate Medical Education (ACGME)
9/25/2012 3:34:44PM
CYSTOSCOPY
CYSTOSCOPY
CPT Code
Technique
52700
Description
Transurethral drainage of prostatic abscess
ENDOUROLOGY/STONE DISEASE
OTHER (ENDOUROLOGY/STONE DISEASE)
CPT Code
Technique
Description
50600
50605
50610
50620
50630
50650
50660
E/SD
E/SD
E/SD
E/SD
E/SD
E/SD
E/SD
50945
E/SD/LAP
Ureterotomy with exploration or drainage (separate procedure)

Ureterotomy for insertion of indwelling stent, all types
Ureterolithotomy; upper one-third of ureter
Ureterolithotomy; middle one-third of ureter
Ureterolithotomy; lower one-third of ureter
Ureterectomy, with bladder cuff (separate procedure)
Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal
approach
Laparoscopy, surgical; ureterolithotomy
OTHER - KIDNEY (ENDOUROLOGY/STONE DISEASE)

CPT Code
Technique
Description
50060
50065
50070
50075
E/SD
E/SD
E/SD
E/SD
50130
E/SD
50135
E/SD
Nephrolithotomy; removal of calculus

Nephrolithotomy; secondary surgical operation for calculus
Nephrolithotomy; complicated by congenital kidney abnormality
Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces
(including anatrophic pyelolithotomy)
Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum
pyelolithotomy)
Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)
CPT Code
Technique
Description
50382
E/SD/PER
50384
E/SD/PER
50387
E/SD/PER
50389
E/SD/PER
50390
50391
E/SD/PER
E/SD/PER
50392
E/SD/PER
percutaneous approach, including radiological supervision and interpretation
Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach,
including radiological supervision and interpretation
Removal and replacement of externally accessible transnephric ureteral stent (eg,
external/internal stent) requiring fluoroscopic guidance, including radiological supervision
and interpretation
Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent
indwelling ureteral stent)
Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous
Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established
nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent)
Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection,
percutaneous
PERCUTANEOUS
9/25/2012 3:35:11PM
PERCUTANEOUS
CPT Code
Technique
Description
50393
E/SD/PER
Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or
injection, percutaneous
Injection procedure for pyelography (as nephrostogram, pyelostogram, antegrade
pyeloureterograms) through nephrostomy or pyelostomy tube, or indwelling ureteral catheter
Introduction of guide into renal pelvis and/or ureter with dilation to establish nephrostomy
tract, percutaneous
Change of nephrostomy or pyelostomy tube
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation,
instillation, or ureteropyelography, exclusive of radiologic service;
instillation, or ureteropyelography, exclusive of radiologic service; with ureteral
catheterization, with or without dilation of ureter
instillation, or ureteropyelography, exclusive of radiologic service; with biopsy
instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or
incision, with or without biopsy
instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign
body or calculus
instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation,
or ureteropyelography, exclusive of radiologic service;
or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or
without dilation of ureter
or ureteropyelography, exclusive of radiologic service; with biopsy
or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes
cystoscopy, ureteroscopy, dilation of ureter and ureteral pelvic junction, incision of ureteral
pelvic junction and insertion of endopyelotomy stent)
or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with
or without biopsy
or ureteropyelography, exclusive of radiologic service; with removal of foreign body or
calculus
Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency
Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy
50394
50395
E/SD/PER
50398
50551
E/SD/PER
E/SD/PER
50553
E/SD/PER
50555
E/SD/PER
50557
E/SD/PER
50561
E/SD/PER
50562
E/SD/PER
50570
E/SD/PER
50572
E/SD/PER
50574
E/SD/PER
50575
E/SD/PER
50576
E/SD/PER
50580
E/SD/PER
50592
50593
E/SD/PER
E/SD/PER
PERCUTANEOUS - KIDNEY
CPT Code
Technique
Description
50080
E/SD/PER
Percutaneous nephrostolithotomy or pyelostolithotomy, with or without dilation, endoscopy,

lithotripsy, stenting, or basket extraction; up to 2 cm
9/25/2012 3:35:11PM
PERCUTANEOUS - KIDNEY
CPT Code
Technique
Description
50081
E/SD/PER

lithotripsy, stenting, or basket extraction; over 2 cm
SHOCK WAVE LITHOTRIPSY

CPT Code
Technique
Description
50590
E/SD/SWL
Lithotripsy, extracorporeal shock wave
CPT Code
Technique
Description
50951
E/SD/URSCOP
50953
E/SD/URSCOP
50955
E/SD/URSCOP
50957
E/SD/URSCOP
50961
E/SD/URSCOP
50970
E/SD/URSCOP
50972
E/SD/URSCOP
50974
E/SD/URSCOP
50976
E/SD/URSCOP
50980
E/SD/URSCOP
52320
52325
E/SD/URSCOP
E/SD/URSCOP
52330
E/SD/URSCOP
52341
E/SD/URSCOP
52342
E/SD/URSCOP
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation,

or ureteropyelography, exclusive of radiologic service;
or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or
or ureteropyelography, exclusive of radiologic service; with biopsy
or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with
or without biopsy
or ureteropyelography, exclusive of radiologic service; with removal of foreign body or
calculus
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or
ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or
ureteropyelography, exclusive of radiologic service; with biopsy
ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or
without biopsy
ureteropyelography, exclusive of radiologic service; with removal of foreign body or
calculus
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral
calculus (eg, ultrasonic or electro-hydraulic technique)
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal
of ureteral calculus
Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser,
electrocautery, and incision)
Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation,
laser, electrocautery, and incision)
URETEROSCOPY
9/25/2012 3:35:13PM
URETEROSCOPY
CPT Code
Technique
Description
52343
E/SD/URSCOP
52344
E/SD/URSCOP
52345
E/SD/URSCOP
52346
E/SD/URSCOP
52351
52352
E/SD/URSCOP
E/SD/URSCOP
52353
E/SD/URSCOP
52354
E/SD/URSCOP
52355
E/SD/URSCOP
Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser,

Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon
dilation, laser, electrocautery, and incision)
Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg,
balloon dilation, laser, electrocautery, and incision)
Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of
calculus (ureteral catheterization is included)
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral
catheterization is included)
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of
ureteral or renal pelvic lesion
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal
pelvic tumor
GENERAL UROLOGY
OTHER (GENERAL UROLOGY)
CPT Code
11420
11421
11422
11423
11424
11426
11620
11621
11622
11623
11624
11626
Technique
Description
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp,
neck, hands, feet, genitalia; excised diameter 0.5 cm or less
neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm
neck, hands, feet, genitalia; excised diameter over 4.0 cm
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised
diameter 0.5 cm or less
diameter 0.6 to 1.0 cm
diameter over 4.0 cm
9/25/2012 3:35:13PM
GENERAL UROLOGY
CPT Code
12001
12002
12004
12005
12006
12007
12041
12042
12044
12045
12046
12047
13133
13160
14040
14041
15004
15005
15115
15116
15120
Technique
Description
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or
extremities (including hands and feet); 2.5 cm or less
extremities (including hands and feet); 2.6 cm to 7.5 cm
extremities (including hands and feet); over 30.0 cm
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5
cm
cm
cm
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm
Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;
each additional 5 cm or less (List separately in addition to code for primary procedure)
Secondary closure of surgical wound or dehiscence, extensive or complicated
Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae,
genitalia, hands and/or feet; defect 10 sq cm or less
Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae,
genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm
Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or
scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp,
eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq
cm or 1% of body area of infants and children
Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or
scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp,
eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; each
additional 100 sq cm, or part thereof, or each additional 1% of body area of infants and
children (List separately in addition to code for primary procedure)
Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet,
and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children
Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet,
and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of
infants and children, or part thereof (List separately in addition to code for primary
procedure)
Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet,
and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children
(except 15050)
9/25/2012 3:35:13PM
GENERAL UROLOGY
CPT Code
15121
15135
15136
15155
15156
15175
15176
15240
15241
15320
15321
15335
15336
15365
15366
Technique
Description
Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet,
and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of
procedure)
Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or
multiple digits; first 100 sq cm or less, or 1% of body area of infants and children
Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or
multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and
children, or part thereof (List separately in addition to code for primary procedure)
Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia,
hands, feet, and/or multiple digits; first 25 sq cm or less
Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia,
hands, feet, and/or multiple digits; additional 1 sq cm to 75 sq cm (List separately in addition
to code for primary procedure)
Acellular dermal replacement, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia,
hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and
children
Acellular dermal replacement, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia,
hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body
area of infants and children, or part thereof (List separately in addition to code for primary
procedure)
Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin,
mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less
Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin,
mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof
(List separately in addition to code for primary procedure)
Allograft skin for temporary wound closure, face, scalp, eyelids, mouth, neck, ears, orbits,
genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of
infants and children
Allograft skin for temporary wound closure, face, scalp, eyelids, mouth, neck, ears, orbits,
genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional
1% of body area of infants and children, or part thereof (List separately in addition to code
for primary procedure)
Acellular dermal allograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands,
feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and
children
Acellular dermal allograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands,
feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of
procedure)
Tissue cultured allogeneic dermal substitute, face, scalp, eyelids, mouth, neck, ears, orbits,
genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of
infants and children
Tissue cultured allogeneic dermal substitute, face, scalp, eyelids, mouth, neck, ears, orbits,
genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional
1% of body area of infants and children, or part thereof (List separately in addition to code
for primary procedure)
9/25/2012 3:35:15PM
GENERAL UROLOGY
CPT Code
Technique
15420
15421
15574
15620
17270
17271
17272
17273
17274
17276
17311
17312
49000
49505
49507
49520
49521
49560
49561
49565
49566
49587
49900
GU
GU
GU
GU
GU
GU
GU
GU
GU
Description
Xenograft skin (dermal), for temporary wound closure, face, scalp, eyelids, mouth, neck,
ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of
body area of infants and children
Xenograft skin (dermal), for temporary wound closure, face, scalp, eyelids, mouth, neck,
ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each
additional 1% of body area of infants and children, or part thereof (List separately in
addition to code for primary procedure)
Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth,
neck, axillae, genitalia, hands or feet
Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck,
axillae, genitalia, hands, or feet
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery,
surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less
surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm
surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter over 4.0 cm
Mohs micrographic technique, including removal of all gross tumor, surgical excision of
tissue specimens, mapping, color coding of specimens, microscopic examination of
specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg,
hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location
with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels;
first stage, up to 5 tissue blocks
Mohs micrographic technique, including removal of all gross tumor, surgical excision of
tissue specimens, mapping, color coding of specimens, microscopic examination of
specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg,
hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location
with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels;
each additional stage after the first stage, up to 5 tissue blocks (List separately in addition to
code for primary procedure)
Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate
procedure)
Repair initial inguinal hernia, age 5 years or older; reducible
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated
Repair recurrent inguinal hernia, any age; reducible
Repair recurrent inguinal hernia, any age; incarcerated or strangulated
Repair initial incisional or ventral hernia; reducible
Repair initial incisional or ventral hernia; incarcerated or strangulated
Repair recurrent incisional or ventral hernia; reducible
Repair recurrent incisional or ventral hernia; incarcerated or strangulated
Repair umbilical hernia, age 5 years or older; incarcerated or strangulated
Suture, secondary, of abdominal wall for evisceration or dehiscence
9/25/2012 3:35:15PM
GENERAL UROLOGY
CPT Code
Technique
49905
50386
51020
51030
51040
51045
51050
51060
51065
51080
51100
51101
51102
51500
51520
51525
51530
51535
51705
51710
51860
51865
51880
53020
53040
53060
53080
53085
53200
53220
53250
53260
53265
53270
53275
53600
53601
53605
53620
53621
53660
53661
53665
GU
Description
Omental flap, intra-abdominal (List separately in addition to code for primary procedure)
Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach,
without use of cystoscopy, including radiological supervision and interpretation
Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material
Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion
Cystostomy, cystotomy with drainage
Cystotomy, with insertion of ureteral catheter or stent (separate procedure)
Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection
Transvesical ureterolithotomy
Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic
fragmentation of ureteral calculus
Drainage of perivesical or prevesical space abscess
Aspiration of bladder; by needle
Aspiration of bladder; by trocar or intracatheter
Aspiration of bladder; with insertion of suprapubic catheter
Excision of urachal cyst or sinus, with or without umbilical hernia repair
Cystotomy; for simple excision of vesical neck (separate procedure)
Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure)
Cystotomy; for excision of bladder tumor
Cystotomy for excision, incision, or repair of ureterocele
Change of cystostomy tube; simple
Change of cystostomy tube; complicated
Cystorrhaphy, suture of bladder wound, injury or rupture; simple
Cystorrhaphy, suture of bladder wound, injury or rupture; complicated
Closure of cystostomy (separate procedure)
Meatotomy, cutting of meatus (separate procedure); except infant
Drainage of deep periurethral abscess
Drainage of Skene's gland abscess or cyst
Drainage of perineal urinary extravasation; uncomplicated (separate procedure)
Drainage of perineal urinary extravasation; complicated
Biopsy of urethra
Excision or fulguration of carcinoma of urethra
Excision of bulbourethral gland (Cowper's gland)
Excision or fulguration; urethral polyp(s), distal urethra
Excision or fulguration; urethral caruncle
Excision or fulguration; Skene's glands
Excision or fulguration; urethral prolapse
Dilation of urethral stricture by passage of sound or urethral dilator, male; initial
Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male,
general or conduction (spinal) anesthesia
Dilation of urethral stricture by passage of filiform and follower, male; initial
Dilation of urethral stricture by passage of filiform and follower, male; subsequent
Dilation of female urethra including suppository and/or instillation; initial
Dilation of female urethra including suppository and/or instillation; subsequent
Dilation of female urethra, general or conduction (spinal) anesthesia
9/25/2012 3:35:17PM
GENERAL UROLOGY
CPT Code
Technique
53899
54015
54050
Description
Unlisted procedure, urinary system

Incision and drainage of penis, deep
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic
vesicle), simple; chemical
vesicle), simple; electrodesiccation
vesicle), simple; cryosurgery
vesicle), simple; laser surgery
vesicle), simple; surgical excision
vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)
Circumcision, using clamp or other device with regional dorsal penile or ring block
Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of
age or less)
Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of
age
Lysis or excision of penile post-circumcision adhesions
Repair incomplete circumcision
Frenulotomy of penis
Vesiculotomy;
Vesiculotomy; complicated
Vesiculectomy, any approach
Excision of Mullerian duct cyst
Electroejaculation
Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for
subsequent interstitial radioelement application
Lysis of adhesions (salpingolysis, ovariolysis)
Microsurgical techniques, requiring use of operating microscope (List separately in addition
to code for primary procedure)
54055
54056
54057
54060
54065
54150
54160
54161
54162
54163
54164
55600
55605
55650
55680
55870
55920
58740
69990
SCROTAL/INGUINAL SURGERY
CPT Code
Technique
Description
54500
54505
54512
54520
GU/SC
GU/SC
GU/SC
GU/SC
54522
54530
54535
54550
54560
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
Biopsy of testis, needle (separate procedure)

Biopsy of testis, incisional (separate procedure)
Excision of extraparenchymal lesion of testis
Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or
inguinal approach
Orchiectomy, partial
Orchiectomy, radical, for tumor; inguinal approach
Orchiectomy, radical, for tumor; with abdominal exploration
Exploration for undescended testis (inguinal or scrotal area)
Exploration for undescended testis with abdominal exploration
10
9/25/2012 3:35:17PM
GENERAL UROLOGY
SCROTAL/INGUINAL SURGERY
CPT Code
Technique
Description
54600
54620
54640
54650
54660
54670
54680
54690
54692
54699
54700
54800
54830
54840
54860
54861
54865
54900
54901
55000
55040
55041
55060
55100
55110
55120
55150
55175
55180
55200
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
55250
GU/SC
55300
55400
55450
55500
55520
55530
55535
55540
55550
55559
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
Reduction of torsion of testis, surgical, with or without fixation of contralateral testis

Fixation of contralateral testis (separate procedure)
Orchiopexy, inguinal approach, with or without hernia repair
Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)
Insertion of testicular prosthesis (separate procedure)
Suture or repair of testicular injury
Transplantation of testis(es) to thigh (because of scrotal destruction)
Laparoscopy, surgical; orchiectomy
Laparoscopy, surgical; orchiopexy for intra-abdominal testis
Unlisted laparoscopy procedure, testis
Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma)
Biopsy of epididymis, needle
Excision of local lesion of epididymis
Excision of spermatocele, with or without epididymectomy
Epididymectomy; unilateral
Epididymectomy; bilateral
Exploration of epididymis, with or without biopsy
Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral
Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral
Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication
Excision of hydrocele; unilateral
Excision of hydrocele; bilateral
Repair of tunica vaginalis hydrocele (Bottle type)
Drainage of scrotal wall abscess
Scrotal exploration
Removal of foreign body in scrotum
Resection of scrotum
Scrotoplasty; simple
Scrotoplasty; complicated
Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate
procedure)
Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen
examination(s)
Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral
Vasovasostomy, vasovasorrhaphy
Ligation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure)
Excision of hydrocele of spermatic cord, unilateral (separate procedure)
Excision of lesion of spermatic cord (separate procedure)
Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure)
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach
Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair
Laparoscopy, surgical, with ligation of spermatic veins for varicocele
Unlisted laparoscopy procedure, spermatic cord
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
GU/SC
11
9/25/2012 3:35:17PM
GENERAL UROLOGY
TRANSURETHRAL
CPT Code
Technique
Description
52224
GU/TUR
52234
GU/TUR
52235
GU/TUR
52240
GU/TUR
52402
52450
52500
52601
GU/TUR
GU/TUR
GU/TUR
GU/TUR
52630
GU/TUR
52640
52647
GU/TUR
GU/TUR
52648
GU/TUR
52649
GU/TUR
53850
53852
GU/TUR
GU/TUR
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of

MINOR (less than 0.5 cm) lesion(s) with or without biopsy
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or
resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)
resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)
resection of; LARGE bladder tumor(s)
Cystourethroscopy with transurethral resection or incision of ejaculatory ducts
Transurethral incision of prostate
Transurethral resection of bladder neck (separate procedure)
Transurethral electrosurgical resection of prostate, including control of postoperative
bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or
dilation, and internal urethrotomy are included)
Transurethral resection; residual or regrowth of obstructive prostate tissue including control
of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral
calibration and/or dilation, and internal urethrotomy are included)
Transurethral resection; of postoperative bladder neck contracture
Laser coagulation of prostate, including control of postoperative bleeding, complete
(vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal
urethrotomy are included if performed)
Laser vaporization of prostate, including control of postoperative bleeding, complete
(vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal
urethrotomy and transurethral resection of prostate are included if performed)
Laser enucleation of the prostate with morcellation, including control of postoperative
dilation, internal urethrotomy and transurethral resection of prostate are included if
performed)
Transurethral destruction of prostate tissue; by microwave thermotherapy
Transurethral destruction of prostate tissue; by radiofrequency thermotherapy
TRUS/PROSTATE BIOPSY
CPT Code
Technique
Description
55700
55705
55706
GU/TURP
GU/TURP
GU/TURP
55720
55725
GU/TURP
GU/TURP
Biopsy, prostate; needle or punch, single or multiple, any approach

Biopsy, prostate; incisional, any approach
Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling,
including imaging guidance
Prostatotomy, external drainage of prostatic abscess, any approach; simple
Prostatotomy, external drainage of prostatic abscess, any approach; complicated
ULTRASOUND (GENERAL UROLOGY)

CPT Code
76872
Technique
Description
Ultrasound, transrectal;
12
9/25/2012 3:35:18PM
GENERAL UROLOGY
ULTRASOUND (GENERAL UROLOGY)
CPT Code
Technique
Description
Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning

(separate procedure)
Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization
device), imaging supervision and interpretation
Ultrasonic guidance, intraoperative
Interstitial radiation source application; simple
Interstitial radiation source application; intermediate
Interstitial radiation source application; complex
76873
76942
76998
77776
77777
77778
URODYNAMICS (GENERAL UROLOGY)

CPT Code
Technique
Description
50396
51720
51725
51726
51736
51741
51772
51784
GU/UD
51785
51792
51795
51797
GU/UD
Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter

Bladder instillation of anticarcinogenic agent (including retention time)
Simple cystometrogram (CMG) (eg, spinal manometer)
Complex cystometrogram (ie, calibrated electronic equipment);
Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter)
Complex uroflowmetry (eg, calibrated electronic equipment)
Urethral pressure profile studies (UPP) (urethral closure pressure profile), any technique
Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any
technique
Needle electromyography studies (EMG) of anal or urethral sphincter, any technique
Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time)
Voiding pressure studies (VP); bladder voiding pressure, any technique
Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately
in addition to code for primary procedure)
Measurement of post-voiding residual urine and/or bladder capacity by ultrasound,
non-imaging
GU/UD
GU/UD
GU/UD
GU/UD
GU/UD
51798
NON-TRUS BIOPSY ULTRASOUND PROCEDURES

PELVIC (ULTRASOUND)
CPT Code
Technique
Description
Measurement of post-voiding residual urine and/or bladder capacity by ultrasound,

non-imaging
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete
Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up
(eg, for follicles)
51798
76856
76857
PENILE (ULTRASOUND)
CPT Code
93980
Technique
Description
Duplex scan of arterial inflow and venous outflow of penile vessels; complete study
13
9/25/2012 3:35:18PM
NON-TRUS BIOPSY ULTRASOUND PROCEDURES

PENILE (ULTRASOUND)
CPT Code
Technique
Description
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited
study
93981
PROSTATE (ULTRASOUND)
CPT Code
Technique
55873
76872
76873
Description
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring)

Ultrasound, transrectal;
Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning
Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization
device), imaging supervision and interpretation
76942
RENAL (ULTRASOUND)
CPT Code
Technique
Description
Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation;
complete
limited
Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation
Ultrasound guidance for, and monitoring of, parenchymal tissue ablation
Ultrasonic guidance, intraoperative
76770
76775
76776
76940
76998
SCROTAL (ULTRASOUND)
CPT Code
Technique
76870
Description
Ultrasound, scrotum and contents
ONCOLOGY
OTHER (ONCOLOGY)
CPT Code
Technique
38571
38572
Description
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy

Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph
node sampling (biopsy), single or multiple
Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes
38770
PELVIC - BLADDER
CPT Code
Technique
Description
51550
51555
PEL/P-BL
PEL/P-BL
Cystectomy, partial; simple

Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location)
14
9/25/2012 3:35:20PM
ONCOLOGY
PELVIC - BLADDER
CPT Code
Technique
Description
51565
51570
51575
PEL/P-BL
PEL/P-BL
PEL/P-BL
51580
51585
PEL/P-BL
PEL/P-BL
51590
PEL/P-BL
51595
PEL/P-BL
51596
PEL/P-BL
51597
PEL/P-BL
51999
58240
PEL/P-BL
PEL/P-BL
Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy)

Cystectomy, complete; (separate procedure)
Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac,
hypogastric, and obturator nodes
Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations;
with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator
nodes
Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine
anastomosis;
anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric,
and obturator nodes
Cystectomy, complete, with continent diversion, any open technique, using any segment of
small and/or large intestine to construct neobladder
Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of
bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal
resection of rectum and colon and colostomy, or any combination thereof
Unlisted laparoscopy procedure, bladder
Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or
cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with
removal of bladder and ureteral transplantations, and/or abdominoperineal resection of
rectum and colon and colostomy, or any combination thereof
PELVIC - OTHER
CPT Code
Technique
Description
38562
38760
38765
PEL
PEL
PEL
Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic

Inguinofemoral lymphadenectomy, superficial, including Cloquets node (separate procedure)
Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy,
including external iliac, hypogastric, and obturator nodes (separate procedure)
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure)
49250
PELVIC - PROSTATE
CPT Code
Technique
Description
55801
PEL/P-PR
55810
55812
PEL/P-PR
PEL/P-PR
55815
PEL/P-PR
55821
PEL/P-PR
55831
PEL/P-PR
Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy,

meatotomy, urethral calibration and/or dilation, and internal urethrotomy)
Prostatectomy, perineal radical;
Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic
lymphadenectomy)
Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external
iliac, hypogastric and obturator nodes
Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral
calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages
calibration and/or dilation, and internal urethrotomy); retropubic, subtotal
15
9/25/2012 3:35:20PM
ONCOLOGY
PELVIC - PROSTATE
CPT Code
Technique
Description
55840
55842
PEL/P-PR
PEL/P-PR
55845
PEL/P-PR
Prostatectomy, retropubic radical, with or without nerve sparing;

Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s)
(limited pelvic lymphadenectomy)
Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic
lymphadenectomy, including external iliac, hypogastric, and obturator nodes
Exposure of prostate, any approach, for insertion of radioactive substance;
Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node
biopsy(s) (limited pelvic lymphadenectomy)
Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral
pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes
Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes
robotic assistance, when performed
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring)
55860
55862
55865
55866
PEL/P-PR
55873
RETROPERITONEAL - ADRENAL
CPT Code
Technique
Description
60540
RET
60545
RET
60650
RET
Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy,

transabdominal, lumbar or dorsal (separate procedure);
transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent
retroperitoneal tumor
Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal
gland with or without biopsy, transabdominal, lumbar or dorsal
RETROPERITONEAL - KIDNEY
CPT Code
Technique
50010
50020
50021
50040
50045
50100
50120
50125
50200
50205
50220
50225
RET/KID
RET/KID
50230
RET/KID
50234
50236
50240
RET/KID
RET/KID
RET/KID
Description
Renal exploration, not necessitating other specific procedures

Drainage of perirenal or renal abscess; open
Drainage of perirenal or renal abscess; percutaneous
Nephrostomy, nephrotomy with drainage
Nephrotomy, with exploration
Transection or repositioning of aberrant renal vessels (separate procedure)
Pyelotomy; with exploration
Pyelotomy; with drainage, pyelostomy
Renal biopsy; percutaneous, by trocar or needle
Renal biopsy; by surgical exposure of kidney
Nephrectomy, including partial ureterectomy, any open approach including rib resection;
complicated because of previous surgery on same kidney
radical, with regional lymphadenectomy and/or vena caval thrombectomy
Nephrectomy with total ureterectomy and bladder cuff; through same incision
Nephrectomy with total ureterectomy and bladder cuff; through separate incision
Nephrectomy, partial
16
9/25/2012 3:35:22PM
ONCOLOGY
RETROPERITONEAL - KIDNEY
CPT Code
Technique
Description
50250
RET/KID
50280
50290
50300
50320
50323
RET/KID
RET/KID
RET/KID
RET/KID
Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative

ultrasound guidance and monitoring, if performed
Excision or unroofing of cyst(s) of kidney
Excision of perinephric cyst
Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral
Donor nephrectomy (including cold preservation); open, from living donor
Backbench standard preparation of cadaver donor renal allograft prior to transplantation,
including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal
attachments, excision of adrenal gland, and preparation of ureter(s), renal vein(s), and renal
artery(s), ligating branches, as necessary
Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior
to transplantation, including dissection and removal of perinephric fat and preparation of
ureter(s), renal vein(s), and renal artery(s), ligating branches, as necessary
Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation;
venous anastomosis, each
arterial anastomosis, each
ureteral anastomosis, each
Recipient nephrectomy (separate procedure)
Renal allotransplantation, implantation of graft; without recipient nephrectomy
Renal allotransplantation, implantation of graft; with recipient nephrectomy
Removal of transplanted renal allograft
Renal autotransplantation, reimplantation of kidney
Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic
procedure, unilateral or bilateral (1 operation)
Laparoscopy, surgical; ablation of renal cysts
Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound
guidance and monitoring, when performed
Laparoscopy, surgical; partial nephrectomy
Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and
surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy)
Laparoscopy, surgical; nephrectomy, including partial ureterectomy
Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor
Laparoscopy, surgical; nephrectomy with total ureterectomy
Unlisted laparoscopy procedure, renal
50325
50327
50328
50329
50340
50360
50365
50370
50380
50540
RET/KID
RET/KID
RET/KID
RET/KID
RET/KID
50541
50542
RET/KID
RET/KID
50543
50545
RET/KID
RET/KID
50546
50547
50548
50549
RET/KID
RET/KID
RET/KID
RET/KID
RETROPERITONEAL - OTHER
CPT Code
Technique
49180
49321
Description
Biopsy, abdominal or retroperitoneal mass, percutaneous needle

Laparoscopy, surgical; with biopsy (single or multiple)
RETROPERITONEAL - RPLND
CPT Code
Technique
Description
17
9/25/2012 3:35:22PM
ONCOLOGY
RETROPERITONEAL - RPLND
CPT Code
Technique
Description
38564
RET
38570
38780
RET/LAP
RET
49203
RET
49204
RET
49205
RET
Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or

splenic)
Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple
Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and
renal nodes (separate procedure)
Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more
peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm
diameter or less
peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor
5.1-10.0 cm diameter
peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater
than 10.0 cm diameter
PEDIATRICS
MAJOR - HYPOSPADIAS
CPT Code
Technique
Description
53235
53240
53400
53405
53410
53415
MAJ/HYP
MAJ/HYP
MAJ/HYP
MAJ/HYP
MAJ/HYP
MAJ/HYP
53420
MAJ/HYP
53425
MAJ/HYP
53430
53431
MAJ/HYP
MAJ/HYP
53450
53460
MAJ/HYP
MAJ/HYP
54300
MAJ/HYP
54304
MAJ/HYP
54308
MAJ/HYP
54312
MAJ/HYP
54316
MAJ/HYP
Excision of urethral diverticulum (separate procedure); male

Marsupialization of urethral diverticulum, male or female
Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)
Urethroplasty; second stage (formation of urethra), including urinary diversion
Urethroplasty, 1-stage reconstruction of male anterior urethra
Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or
membranous urethra
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first
stage
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second
stage
Urethroplasty, reconstruction of female urethra
Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence
(eg, Tenago, Leadbetter procedure)
Urethromeatoplasty, with mucosal advancement
Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type
procedure)
Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without
mobilization of urethra
Plastic operation on penis for correction of chordee or for first stage hypospadias repair with
or without transplantation of prepuce and/or skin flaps
Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3
cm
Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than
3 cm
Urethroplasty for second stage hypospadias repair (including urinary diversion) with free
skin graft obtained from site other than genitalia
18
9/25/2012 3:35:23PM
PEDIATRICS
MAJOR - HYPOSPADIAS
CPT Code
Technique
Description
54318
MAJ/HYP
54322
MAJ/HYP
54324
MAJ/HYP
54326
MAJ/HYP
54328
MAJ/HYP
54332
MAJ/HYP
54336
MAJ/HYP
54340
MAJ/HYP
54344
MAJ/HYP
54348
MAJ/HYP
54352
MAJ/HYP
54360
54380
54385
54390
MAJ/HYP
MAJ/HYP
MAJ/HYP
MAJ/HYP
55970
55980
57220
57335
MAJ/HYP
MAJ/HYP
MAJ/HYP
MAJ/HYP
Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third
stage Cecil repair)
1-stage distal hypospadias repair (with or without chordee or circumcision); with simple
meatal advancement (eg, Magpi, V-flap)
1-stage distal hypospadias repair (with or without chordee or circumcision); with
urethroplasty by local skin flaps (eg, flip-flap, prepucial flap)
urethroplasty by local skin flaps and mobilization of urethra
1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive
dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or
island flap
1-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
1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and
urethroplasty by use of skin graft tube and/or island flap
Repair of hypospadias complications (ie, fistula, stricture, diverticula); by closure, incision,
or excision, simple
Repair of hypospadias complications (ie, fistula, stricture, diverticula); requiring
mobilization of skin flaps and urethroplasty with flap or patch graft
Repair of hypospadias complications (ie, fistula, stricture, diverticula); requiring extensive
dissection and urethroplasty with flap, patch or tubed graft (includes urinary diversion)
Repair of hypospadias cripple requiring extensive dissection and excision of previously
constructed structures including re-release of chordee and reconstruction of urethra and
penis by use of local skin as grafts and island flaps and skin brought in as flaps or grafts
Plastic operation on penis to correct angulation
Plastic operation on penis for epispadias distal to external sphincter;
Plastic operation on penis for epispadias distal to external sphincter; with incontinence
Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of
bladder
Intersex surgery; male to female
Intersex surgery; female to male
Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication)
Vaginoplasty for intersex state
MAJOR - KIDNEY
CPT Code
Technique
Description
50060
50065
50070
50075
MAJ
MAJ
MAJ
MAJ
50080
MAJ
50081
MAJ
Nephrolithotomy; removal of calculus

Nephrolithotomy; secondary surgical operation for calculus
Nephrolithotomy; complicated by congenital kidney abnormality
Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces
(including anatrophic pyelolithotomy)
lithotripsy, stenting, or basket extraction; up to 2 cm
lithotripsy, stenting, or basket extraction; over 2 cm
19
9/25/2012 3:35:23PM
PEDIATRICS
MAJOR - KIDNEY
CPT Code
Technique
Description
50130
MAJ
50135
50220
50225
MAJ
MAJ
MAJ
50230
MAJ
50234
50236
50240
50250
MAJ
MAJ
MAJ
MAJ
50280
50290
50300
50320
50340
50360
50365
50370
50380
50500
50520
50525
MAJ
MAJ
MAJ
MAJ
MAJ
MAJ
MAJ
MAJ
MAJ
MAJ
MAJ
MAJ
50526
50541
50542
MAJ
MAJ/LAP
MAJ/LAP
50543
50545
MAJ/LAP
MAJ/LAP
50546
50547
50548
50549
MAJ/LAP
MAJ/LAP
MAJ/LAP
MAJ/LAP
Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum

pyelolithotomy)
Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)
complicated because of previous surgery on same kidney
radical, with regional lymphadenectomy and/or vena caval thrombectomy
Nephrectomy with total ureterectomy and bladder cuff; through same incision
Nephrectomy with total ureterectomy and bladder cuff; through separate incision
Nephrectomy, partial
Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative
ultrasound guidance and monitoring, if performed
Excision or unroofing of cyst(s) of kidney
Excision of perinephric cyst
Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral
Donor nephrectomy (including cold preservation); open, from living donor
Recipient nephrectomy (separate procedure)
Renal allotransplantation, implantation of graft; without recipient nephrectomy
Renal allotransplantation, implantation of graft; with recipient nephrectomy
Removal of transplanted renal allograft
Renal autotransplantation, reimplantation of kidney
Nephrorrhaphy, suture of kidney wound or injury
Closure of nephrocutaneous or pyelocutaneous fistula
Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal
approach
Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach
Laparoscopy, surgical; ablation of renal cysts
Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound
guidance and monitoring, when performed
Laparoscopy, surgical; partial nephrectomy
Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and
surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy)
Laparoscopy, surgical; nephrectomy, including partial ureterectomy
Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor
Laparoscopy, surgical; nephrectomy with total ureterectomy
Unlisted laparoscopy procedure, renal
CPT Code
Technique
Description
38562
38564
MAJ
MAJ
38570
38760
MAJ/LAP
MAJ
Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic

Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or
splenic)
Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple
Inguinofemoral lymphadenectomy, superficial, including Cloquets node (separate procedure)
MAJOR - OTHER
20
9/25/2012 3:35:25PM
PEDIATRICS
MAJOR - OTHER
CPT Code
Technique
Description
38765
MAJ
38780
MAJ
49203
MAJ
49204
MAJ
49205
MAJ
50810
MAJ
50815
50820
50830
MAJ
MAJ
MAJ
50840
50845
51550
51555
51565
51570
51575
MAJ
MAJ
MAJ
MAJ
MAJ
MAJ
MAJ
51580
51585
MAJ
MAJ
51590
MAJ
51595
MAJ
51596
MAJ
51597
MAJ
51900
51920
51925
51940
51960
51980
MAJ
MAJ
MAJ
MAJ
MAJ
MAJ
Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy,

including external iliac, hypogastric, and obturator nodes (separate procedure)
Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and
renal nodes (separate procedure)
peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm
diameter or less
peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor
5.1-10.0 cm diameter
peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater
than 10.0 cm diameter
Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or
perineal colostomy, including intestine anastomosis
Ureterocolon conduit, including intestine anastomosis
Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation)
Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or
ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy)
Replacement of all or part of ureter by intestine segment, including intestine anastomosis
Cutaneous appendico-vesicostomy
Cystectomy, partial; simple
Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location)
Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy)
Cystectomy, complete; (separate procedure)
Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac,
hypogastric, and obturator nodes
with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator
nodes
anastomosis;
anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric,
and obturator nodes
Cystectomy, complete, with continent diversion, any open technique, using any segment of
small and/or large intestine to construct neobladder
Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of
bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal
resection of rectum and colon and colostomy, or any combination thereof
Closure of vesicovaginal fistula, abdominal approach
Closure of vesicouterine fistula;
Closure of vesicouterine fistula; with hysterectomy
Closure, exstrophy of bladder
Enterocystoplasty, including intestinal anastomosis
Cutaneous vesicostomy
21
9/25/2012 3:35:25PM
PEDIATRICS
MAJOR - OTHER
CPT Code
Technique
Description
53230
55801
MAJ
MAJ
55810
55812
MAJ
MAJ
55815
MAJ
55821
MAJ
55831
MAJ
55840
55842
MAJ
MAJ
55845
MAJ
55866
MAJ/LAP
57291
57292
57300
57305
57307
57308
MAJ
MAJ
MAJ
MAJ
MAJ
MAJ
57310
57311
57320
57330
58240
MAJ
MAJ
MAJ
MAJ
MAJ
60540
MAJ
60545
MAJ
60650
MAJ/LAP
Excision of urethral diverticulum (separate procedure); female

Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy,
meatotomy, urethral calibration and/or dilation, and internal urethrotomy)
Prostatectomy, perineal radical;
Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic
lymphadenectomy)
Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external
iliac, hypogastric and obturator nodes
calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages
calibration and/or dilation, and internal urethrotomy); retropubic, subtotal
Prostatectomy, retropubic radical, with or without nerve sparing;
Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s)
(limited pelvic lymphadenectomy)
Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic
lymphadenectomy, including external iliac, hypogastric, and obturator nodes
Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes
robotic assistance, when performed
Construction of artificial vagina; without graft
Construction of artificial vagina; with graft
Closure of rectovaginal fistula; vaginal or transanal approach
Closure of rectovaginal fistula; abdominal approach
Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy
Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction,
with or without levator plication
Closure of urethrovaginal fistula;
Closure of urethrovaginal fistula; with bulbocavernosus transplant
Closure of vesicovaginal fistula; vaginal approach
Closure of vesicovaginal fistula; transvesical and vaginal approach
Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or
cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with
removal of bladder and ureteral transplantations, and/or abdominoperineal resection of
rectum and colon and colostomy, or any combination thereof
transabdominal, lumbar or dorsal (separate procedure);
transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent
retroperitoneal tumor
Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal
gland with or without biopsy, transabdominal, lumbar or dorsal
MAJOR - URETER
CPT Code
Technique
Description
50400
MAJ/UR
Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic
operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple
22
9/25/2012 3:35:26PM
PEDIATRICS
MAJOR - URETER
CPT Code
Technique
Description
50405
MAJ/UR
50544
50600
50605
50610
50620
50630
50650
50660
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
50700
50715
50722
50725
50727
50728
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
50740
50750
50760
50770
50780
50782
50783
50785
50800
50860
50900
50920
50930
50940
50945
50947
50948
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
MAJ/UR
50949
51535
MAJ/UR
MAJ/UR
operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting;
complicated (congenital kidney abnormality, secondary pyeloplasty, solitary kidney,
calycoplasty)
Laparoscopy, surgical; pyeloplasty
Ureterotomy with exploration or drainage (separate procedure)
Ureterotomy for insertion of indwelling stent, all types
Ureterolithotomy; upper one-third of ureter
Ureterolithotomy; middle one-third of ureter
Ureterolithotomy; lower one-third of ureter
Ureterectomy, with bladder cuff (separate procedure)
Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal
approach
Ureteroplasty, plastic operation on ureter (eg, stricture)
Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis
Ureterolysis for ovarian vein syndrome
Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava
Revision of urinary-cutaneous anastomosis (any type urostomy);
Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect
and hernia
Ureteropyelostomy, anastomosis of ureter and renal pelvis
Ureterocalycostomy, anastomosis of ureter to renal calyx
Ureteroureterostomy
Transureteroureterostomy, anastomosis of ureter to contralateral ureter
Ureteroneocystostomy; anastomosis of single ureter to bladder
Ureteroneocystostomy; anastomosis of duplicated ureter to bladder
Ureteroneocystostomy; with extensive ureteral tailoring
Ureteroneocystostomy; with vesico-psoas hitch or bladder flap
Ureteroenterostomy, direct anastomosis of ureter to intestine
Ureterostomy, transplantation of ureter to skin
Ureterorrhaphy, suture of ureter (separate procedure)
Closure of ureterocutaneous fistula
Closure of ureterovisceral fistula (including visceral repair)
Deligation of ureter
Laparoscopy, surgical; ureterolithotomy
Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent
placement
Unlisted laparoscopy procedure, ureter
Cystotomy for excision, incision, or repair of ureterocele
MINOR - ENDOSCOPIC
CPT Code
Technique
Description
0084T
MIN/END
Insertion of a temporary prostatic urethral stent
23
9/25/2012 3:35:26PM
PEDIATRICS
MINOR - ENDOSCOPIC
CPT Code
Technique
Description
50385
MIN/END
51715
MIN/END
52000
52001
52005
MIN/END
MIN/END
MIN/END
52007
MIN/END
52010
MIN/END
52204
52214
MIN/END
MIN/END
52224
MIN/END
52234
MIN/END
52235
MIN/END
52240
MIN/END
52250
MIN/END
52260
MIN/END
52265
52270
52275
52276
52277
52281
MIN/END
MIN/END
MIN/END
MIN/END
MIN/END
MIN/END
52282
52283
52285
MIN/END
MIN/END
MIN/END
52290
52300
MIN/END
MIN/END
52301
MIN/END
transurethral approach, without use of cystoscopy, including radiological supervision and
interpretation
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or
bladder neck
Cystourethroscopy (separate procedure)
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots
ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal
pelvis
Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation,
instillation, or duct radiography, exclusive of radiologic service
Cystourethroscopy, with biopsy(s)
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone,
bladder neck, prostatic fossa, urethra, or periurethral glands
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of
MINOR (less than 0.5 cm) lesion(s) with or without biopsy
resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)
resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)
resection of; LARGE bladder tumor(s)
Cystourethroscopy with insertion of radioactive substance, with or without biopsy or
fulguration
Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction
(spinal) anesthesia
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia
Cystourethroscopy, with internal urethrotomy; female
Cystourethroscopy, with internal urethrotomy; male
Cystourethroscopy with direct vision internal urethrotomy
Cystourethroscopy, with resection of external sphincter (sphincterotomy)
Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or
without meatotomy, with or without injection procedure for cystography, male or female
Cystourethroscopy, with insertion of permanent urethral stent
Cystourethroscopy, with steroid injection into stricture
Cystourethroscopy for treatment of the female urethral syndrome with any or all of the
following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of
urethrovaginal septal fibrosis, lateral incisions of the bladder neck, and fulguration of
polyp(s) of urethra, bladder neck, and/or trigone
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral
Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or
bilateral
Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or
bilateral
24
9/25/2012 3:35:28PM
PEDIATRICS
MINOR - ENDOSCOPIC
CPT Code
Technique
Description
52305
MIN/END
52310
MIN/END
52315
MIN/END
52317
MIN/END
52318
MIN/END
52320
52325
MIN/END
MIN/END
52327
MIN/END
52330
MIN/END
52332
52334
MIN/END
MIN/END
52341
MIN/END
52342
MIN/END
52343
MIN/END
52344
MIN/END
52345
MIN/END
52346
MIN/END
52351
52352
MIN/END
MIN/END
52353
MIN/END
52354
MIN/END
52355
MIN/END
52400
MIN/END
52402
52450
52500
MIN/END
MIN/END
MIN/END
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or

multiple
bladder (separate procedure); simple
bladder (separate procedure); complicated
fragments; simple or small (less than 2.5 cm)
fragments; complicated or large (over 2.5 cm)
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral
calculus (eg, ultrasonic or electro-hydraulic technique)
Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant
material
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal
of ureteral calculus
Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a
percutaneous nephrostomy, retrograde
Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser,
Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation,
laser, electrocautery, and incision)
Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser,
Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon
Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg,
balloon dilation, laser, electrocautery, and incision)
Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of
calculus (ureteral catheterization is included)
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral
catheterization is included)
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of
ureteral or renal pelvic lesion
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal
pelvic tumor
Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral
valves, or congenital obstructive hypertrophic mucosal folds
Cystourethroscopy with transurethral resection or incision of ejaculatory ducts
Transurethral incision of prostate
Transurethral resection of bladder neck (separate procedure)
25
9/25/2012 3:35:30PM
PEDIATRICS
MINOR - ENDOSCOPIC
CPT Code
Technique
Description
52601
MIN/END
52630
MIN/END
52640
52647
MIN/END
MIN/END
52648
MIN/END
52700
MIN/END
Transurethral electrosurgical resection of prostate, including control of postoperative

dilation, and internal urethrotomy are included)
Transurethral resection; residual or regrowth of obstructive prostate tissue including control
of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral
calibration and/or dilation, and internal urethrotomy are included)
Transurethral resection; of postoperative bladder neck contracture
Laser coagulation of prostate, including control of postoperative bleeding, complete
(vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal
urethrotomy are included if performed)
Laser vaporization of prostate, including control of postoperative bleeding, complete
(vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal
urethrotomy and transurethral resection of prostate are included if performed)
Transurethral drainage of prostatic abscess
MINOR - HYDROCELE/HERNIA
CPT Code
Technique
Description
49491
MIN/HYD
49492
MIN/HYD
49495
MIN/HYD
49496
MIN/HYD
49500
MIN/HYD
49501
MIN/HYD
49505
49507
49520
49521
49560
49561
49565
49566
49585
49587
54520
MIN/HYD
MIN/HYD
MIN/HYD
MIN/HYD
MIN/HYD
MIN/HYD
MIN/HYD
MIN/HYD
MIN/HYD
MIN/HYD
MIN/HYD
54522
MIN/HYD
Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth),
performed from birth up to 50 weeks postconception age, with or without hydrocelectomy;
reducible
Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth),
performed from birth up to 50 weeks postconception age, with or without hydrocelectomy;
incarcerated or strangulated
Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant
older than 50 weeks postconception age and younger than age 6 months at the time of
surgery, with or without hydrocelectomy; reducible
Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant
older than 50 weeks postconception age and younger than age 6 months at the time of
surgery, with or without hydrocelectomy; incarcerated or strangulated
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without
hydrocelectomy; reducible
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without
hydrocelectomy; incarcerated or strangulated
Repair initial inguinal hernia, age 5 years or older; reducible
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated
Repair recurrent inguinal hernia, any age; reducible
Repair recurrent inguinal hernia, any age; incarcerated or strangulated
Repair initial incisional or ventral hernia; reducible
Repair initial incisional or ventral hernia; incarcerated or strangulated
Repair recurrent incisional or ventral hernia; reducible
Repair recurrent incisional or ventral hernia; incarcerated or strangulated
Repair umbilical hernia, age 5 years or older; reducible
Repair umbilical hernia, age 5 years or older; incarcerated or strangulated
Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or
inguinal approach
Orchiectomy, partial
26
9/25/2012 3:35:32PM
PEDIATRICS
MINOR - HYDROCELE/HERNIA
CPT Code
Technique
Description
54530
54535
55040
55041
55060
55500
MIN/HYD
MIN/HYD
MIN/HYD
MIN/HYD
MIN/HYD
MIN/HYD
Orchiectomy, radical, for tumor; inguinal approach

Orchiectomy, radical, for tumor; with abdominal exploration
Excision of hydrocele; unilateral
Excision of hydrocele; bilateral
Repair of tunica vaginalis hydrocele (Bottle type)
Excision of hydrocele of spermatic cord, unilateral (separate procedure)
MINOR - ORCHIOPEXY
CPT Code
Technique
Description
54550
54560
54600
54620
54640
54650
54690
54692
MIN/ORC
MIN/ORC
MIN/ORC
MIN/ORC
MIN/ORC
MIN/ORC
MIN/ORC
MIN/ORC
Exploration for undescended testis (inguinal or scrotal area)

Exploration for undescended testis with abdominal exploration
Reduction of torsion of testis, surgical, with or without fixation of contralateral testis
Fixation of contralateral testis (separate procedure)
Orchiopexy, inguinal approach, with or without hernia repair
Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)
Laparoscopy, surgical; orchiectomy
Laparoscopy, surgical; orchiopexy for intra-abdominal testis
CPT Code
Technique
Description
53025
54000
54001
54120
54125
54130
54135
MIN
MIN
MIN
MIN
MIN
MIN
MIN
54450
54660
54680
54699
55520
55530
55535
55540
55550
55559
56441
56442
56800
56805
MIN
MIN
MIN
MIN/LAP
MIN
MIN
MIN
MIN
MIN/LAP
MIN/LAP
MIN
MIN
MIN
MIN
Meatotomy, cutting of meatus (separate procedure); infant

Slitting of prepuce, dorsal or lateral (separate procedure); newborn
Slitting of prepuce, dorsal or lateral (separate procedure); except newborn
Amputation of penis; partial
Amputation of penis; complete
Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy
Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including
external iliac, hypogastric and obturator nodes
Foreskin manipulation including lysis of preputial adhesions and stretching
Insertion of testicular prosthesis (separate procedure)
Transplantation of testis(es) to thigh (because of scrotal destruction)
Unlisted laparoscopy procedure, testis
Excision of lesion of spermatic cord (separate procedure)
Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure)
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach
Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair
Laparoscopy, surgical, with ligation of spermatic veins for varicocele
Unlisted laparoscopy procedure, spermatic cord
Lysis of labial adhesions
Hymenotomy, simple incision
Plastic repair of introitus
Clitoroplasty for intersex state
MINOR - OTHER
27
9/25/2012 3:35:32PM
RADIOLOGIC
FLUOROSCOPY
CPT Code
Technique
Description
Injection procedure for ureterography or ureteropyelography through ureterostomy or

indwelling ureteral catheter
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit
Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of
radiologic service
Injection procedure for cystography or voiding urethrocystography
Injection procedure and placement of chain for contrast and/or chain urethrocystography
Injection procedure for retrograde urethrocystography
Urography (pyelography), intravenous, with or without KUB, with or without tomography
Urography, infusion, drip technique and/or bolus technique;
Urography, infusion, drip technique and/or bolus technique; with nephrotomography
Urography, retrograde, with or without KUB
Urography, antegrade (pyelostogram, nephrostogram, loopogram), radiological supervision
and interpretation
Cystography, minimum of 3 views, radiological supervision and interpretation
Vasography, vesiculography, or epididymography, radiological supervision and
interpretation
Corpora cavernosography, radiological supervision and interpretation
Urethrocystography, retrograde, radiological supervision and interpretation
Urethrocystography, voiding, radiological supervision and interpretation
Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological
supervision and interpretation
Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection,
percutaneous, radiological supervision and interpretation
Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or
injection, percutaneous, radiological supervision and interpretation
Dilation of nephrostomy, ureters, or urethra, radiological supervision and interpretation
Fluoroscopy (separate procedure), up to 1 hour physician time, other than 71023 or 71034
(eg, cardiac fluoroscopy)
Fluoroscopy, physician time more than 1 hour, assisting a nonradiologic physician (eg,
nephrostolithotomy, ERCP, bronchoscopy, transbronchial biopsy)
50684
50688
50690
51600
51605
51610
74400
74410
74415
74420
74425
74430
74440
74445
74450
74455
74470
74475
74480
74485
76000
76001
OTHER - RADIOLOGIC
CPT Code
Technique
51700
51701
51702
51703
Description
Bladder irrigation, simple, lavage and/or instillation

Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)
Insertion of temporary indwelling bladder catheter; simple (eg, Foley)
Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy,
fractured catheter/balloon)
ULTRASOUND (RADIOLOGIC)
CPT Code
55875
Technique
Description
Transperineal placement of needles or catheters into prostate for interstitial radioelement

application, with or without cystoscopy
28
9/25/2012 3:35:33PM
RADIOLOGIC
ULTRASOUND (RADIOLOGIC)
CPT Code
Technique
Description
Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers,
dosimeter), prostate (via needle, any approach), single or multiple
Ultrasound, abdominal, real time with image documentation; complete
Ultrasound, abdominal, real time with image documentation; limited (eg, single organ,
quadrant, follow-up)
complete
limited
Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation
Ultrasound, scrotum and contents
55876
76700
76705
76770
76775
76776
76870
URODYNAMICS (RADIOLOGIC)
CPT Code
Technique
50686
Description
Manometric studies through ureterostomy or indwelling ureteral catheter
RECONSTRUCTIVE SURGERY
FEMALE
CPT Code
Technique
51715
51840
51841
REC/FEM
REC/FEM
51845
REC/FEM
51990
51992
53210
53230
53240
55970
56441
56442
56800
56805
56810
57000
57010
57020
57022
57023
REC/FEM
REC/FEM
REC/FEM
REC/FEM
REC/FEM
REC/FEM
REC/FEM
REC/FEM
Description
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or
bladder neck
Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple
Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch);
complicated (eg, secondary repair)
Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey,
Raz, modified Pereyra)
Laparoscopy, surgical; urethral suspension for stress incontinence
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic)
Urethrectomy, total, including cystostomy; female
Excision of urethral diverticulum (separate procedure); female
Marsupialization of urethral diverticulum, male or female
Intersex surgery; male to female
Lysis of labial adhesions
Hymenotomy, simple incision
Plastic repair of introitus
Clitoroplasty for intersex state
Perineoplasty, repair of perineum, nonobstetrical (separate procedure)
Colpotomy; with exploration
Colpotomy; with drainage of pelvic abscess
Colpocentesis (separate procedure)
Incision and drainage of vaginal hematoma; obstetrical/postpartum
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous
bleeding)
29
9/25/2012 3:35:33PM
FEMALE
CPT Code
Technique
57061
57065
57100
57105
57106
57107
REC/FEM
REC/FEM
57109
REC/FEM
57110
57111
REC/FEM
REC/FEM
57112
REC/FEM
57120
57130
57135
57150
REC/FEM
REC/FEM
57155
57160
57170
57180
57200
57210
57220
57230
57240
57250
57260
57265
57267
REC/FEM
REC/FEM
REC/FEM
REC/FEM
REC/FEM
REC/FEM
REC/FEM
57268
57270
57280
57282
57283
57284
REC/FEM
REC/FEM
REC/FEM
REC/FEM
REC/FEM
REC/FEM
57285
REC/FEM
Description
Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery,

chemosurgery)
Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery,
chemosurgery)
Biopsy of vaginal mucosa; simple (separate procedure)
Biopsy of vaginal mucosa; extensive, requiring suture (including cysts)
Vaginectomy, partial removal of vaginal wall;
Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical
vaginectomy)
Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical
vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node
sampling (biopsy)
Vaginectomy, complete removal of vaginal wall;
Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical
vaginectomy)
Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical
vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node
sampling (biopsy)
Colpocleisis (Le Fort type)
Excision of vaginal septum
Excision of vaginal cyst or tumor
Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or
fungoid disease
Insertion of uterine tandems and/or vaginal ovoids for clinical brachytherapy
Fitting and insertion of pessary or other intravaginal support device
Diaphragm or cervical cap fitting with instructions
Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical
vaginal hemorrhage (separate procedure)
Colporrhaphy, suture of injury of vagina (nonobstetrical)
Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical)
Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication)
Plastic repair of urethrocele
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy
Combined anteroposterior colporrhaphy;
Combined anteroposterior colporrhaphy; with enterocele repair
Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior,
posterior compartment), vaginal approach (List separately in addition to code for primary
procedure)
Repair of enterocele, vaginal approach (separate procedure)
Repair of enterocele, abdominal approach (separate procedure)
Colpopexy, abdominal approach
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus)
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy)
Paravaginal defect repair (including repair of cystocele, if performed); open abdominal
approach
Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach
30
9/25/2012 3:35:35PM
FEMALE
CPT Code
Technique
Description
57287
57288
57289
57291
57292
57295
57296
57335
57400
57410
57415
REC/FEM
REC/FEM
REC/FEM
REC/FEM
REC/FEM
REC/FEM
REC/FEM
REC/FEM
Removal or revision of sling for stress incontinence (eg, fascia or synthetic)

Sling operation for stress incontinence (eg, fascia or synthetic)
Pereyra procedure, including anterior colporrhaphy
Construction of artificial vagina; without graft
Construction of artificial vagina; with graft
Revision (including removal) of prosthetic vaginal graft; vaginal approach
Revision (including removal) of prosthetic vaginal graft; open abdominal approach
Vaginoplasty for intersex state
Dilation of vagina under anesthesia (other than local)
Pelvic examination under anesthesia (other than local)
Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than
local)
Colposcopy of the entire vagina, with cervix if present;
Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix
Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic
approach
Laparoscopy, surgical, colpopexy (suspension of vaginal apex)
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of
tube(s) and/or ovary(s)
Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for
malignancy
Incision for implantation of neurostimulator electrode array; sacral nerve (transforaminal
placement)
Insertion or replacement of peripheral or gastric neurostimulator pulse generator or receiver,
direct or inductive coupling
57420
57421
57423
REC/FEM
57425
58570
58571
REC/FEM
REC/FEM
REC/FEM
58956
REC/FEM
64581
64590
INTESTINAL DIVERSION
CPT Code
Technique
Description
50810
REC/ID
50815
50820
50830
REC/ID
REC/ID
REC/ID
50840
50845
51960
REC/ID
REC/ID
REC/ID
Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or

perineal colostomy, including intestine anastomosis
Ureterocolon conduit, including intestine anastomosis
Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation)
Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or
ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy)
Replacement of all or part of ureter by intestine segment, including intestine anastomosis
Cutaneous appendico-vesicostomy
Enterocystoplasty, including intestinal anastomosis
MALE - PENILE/INCONTINENCE
CPT Code
Technique
Description
11004
REC/PEN
Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue
infection; external genitalia and perineum
31
9/25/2012 3:35:35PM
CPT Code
Technique
Description
11005
REC/PEN
11006
REC/PEN
53440
53442
53444
53445
REC/PEN
REC/PEN
REC/PEN
REC/PEN
53446
53447
REC/PEN
REC/PEN
53448
REC/PEN
53449
54100
54105
54110
54111
54112
54115
54120
54125
54130
54135
REC/PEN
REC/PEN
REC/PEN
REC/PEN
REC/PEN
REC/PEN
REC/PEN
REC/PEN
REC/PEN
REC/PEN
REC/PEN
infection; abdominal wall, with or without fascial closure
infection; external genitalia, perineum and abdominal wall, with or without fascial closure
Sling operation for correction of male urinary incontinence (eg, fascia or synthetic)
Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic)
Insertion of tandem cuff (dual cuff)
Insertion of inflatable urethral/bladder neck sphincter, including placement of pump,
reservoir, and cuff
Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff
Removal and replacement of inflatable urethral/bladder neck sphincter including pump,
reservoir, and cuff at the same operative session
Removal and replacement of inflatable urethral/bladder neck sphincter including pump,
reservoir, and cuff through an infected field at the same operative session including
irrigation and debridement of infected tissue
Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff
Biopsy of penis; (separate procedure)
Biopsy of penis; deep structures
Excision of penile plaque (Peyronie disease);
Excision of penile plaque (Peyronie disease); with graft to 5 cm in length
Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length
Removal foreign body from deep penile tissue (eg, plastic implant)
Amputation of penis; partial
Amputation of penis; complete
Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy
Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including
external iliac, hypogastric and obturator nodes
Injection procedure for Peyronie disease;
Injection procedure for Peyronie disease; with surgical exposure of plaque
Irrigation of corpora cavernosa for priapism
Injection procedure for corpora cavernosography
Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg,
papaverine, phentolamine)
Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)
Penile plethysmography
Nocturnal penile tumescence and/or rigidity test
Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without
mobilization of urethra
Plastic operation on penis for correction of chordee or for first stage hypospadias repair with
or without transplantation of prepuce and/or skin flaps
Plastic operation on penis to correct angulation
Plastic operation on penis for epispadias distal to external sphincter;
Plastic operation on penis for epispadias distal to external sphincter; with incontinence
Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of
bladder
Insertion of penile prosthesis; non-inflatable (semi-rigid)
Insertion of penile prosthesis; inflatable (self-contained)
54200
54205
54220
54230
54231
54235
54240
54250
54300
54304
54360
54380
54385
54390
REC/PEN
REC/PEN
REC/PEN
REC/PEN
54400
54401
REC/PEN
REC/PEN
32
9/25/2012 3:35:37PM
CPT Code
Technique
Description
54405
REC/PEN
54406
REC/PEN
54408
54410
REC/PEN
REC/PEN
54411
REC/PEN
54415
REC/PEN
54416
REC/PEN
54417
REC/PEN
54420
54430
54435
REC/PEN
REC/PEN
REC/PEN
54440
55899
55980
REC/PEN
Insertion of multi-component, inflatable penile prosthesis, including placement of pump,

cylinders, and reservoir
Removal of all components of a multi-component, inflatable penile prosthesis without
replacement of prosthesis
Repair of component(s) of a multi-component, inflatable penile prosthesis
Removal and replacement of all component(s) of a multi-component, inflatable penile
prosthesis at the same operative session
Removal and replacement of all components of a multi-component inflatable penile
prosthesis through an infected field at the same operative session, including irrigation and
debridement of infected tissue
Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis,
without replacement of prosthesis
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile
prosthesis at the same operative session
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile
prosthesis through an infected field at the same operative session, including irrigation and
debridement of infected tissue
Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral
Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral
Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur,
or punch) for priapism
Plastic operation of penis for injury
Unlisted procedure, male genital system
Intersex surgery; female to male
REC/PEN
MALE - URETHRA
CPT Code
Technique
Description
53000
53010
53215
53235
53400
53405
53410
53415
REC/URTH
REC/URTH
REC/URTH
REC/URTH
REC/URTH
REC/URTH
REC/URTH
REC/URTH
53420
REC/URTH
53425
REC/URTH
53430
53431
REC/URTH
REC/URTH
53450
53460
REC/URTH
REC/URTH
Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra

Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external
Urethrectomy, total, including cystostomy; male
Excision of urethral diverticulum (separate procedure); male
Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)
Urethroplasty; second stage (formation of urethra), including urinary diversion
Urethroplasty, 1-stage reconstruction of male anterior urethra
Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or
membranous urethra
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first
stage
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second
stage
Urethroplasty, reconstruction of female urethra
Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence
(eg, Tenago, Leadbetter procedure)
Urethromeatoplasty, with mucosal advancement
Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type
procedure)
33
9/25/2012 3:35:37PM
MALE - URETHRA
CPT Code
Technique
Description
54308
REC/URTH
54312
REC/URTH
54316
REC/URTH
54318
REC/URTH
54322
REC/URTH
54324
REC/URTH
54326
REC/URTH
54328
REC/URTH
54332
REC/URTH
54336
REC/URTH
54340
REC/URTH
54344
REC/URTH
54348
REC/URTH
54352
REC/URTH
Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3
cm
Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than
3 cm
Urethroplasty for second stage hypospadias repair (including urinary diversion) with free
skin graft obtained from site other than genitalia
Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third
stage Cecil repair)
1-stage distal hypospadias repair (with or without chordee or circumcision); with simple
meatal advancement (eg, Magpi, V-flap)
urethroplasty by local skin flaps (eg, flip-flap, prepucial flap)
urethroplasty by local skin flaps and mobilization of urethra
1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive
dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or
island flap
1-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
1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and
urethroplasty by use of skin graft tube and/or island flap
Repair of hypospadias complications (ie, fistula, stricture, diverticula); by closure, incision,
or excision, simple
Repair of hypospadias complications (ie, fistula, stricture, diverticula); requiring
mobilization of skin flaps and urethroplasty with flap or patch graft
Repair of hypospadias complications (ie, fistula, stricture, diverticula); requiring extensive
dissection and urethroplasty with flap, patch or tubed graft (includes urinary diversion)
Repair of hypospadias cripple requiring extensive dissection and excision of previously
constructed structures including re-release of chordee and reconstruction of urethra and
penis by use of local skin as grafts and island flaps and skin brought in as flaps or grafts
OTHER (RECONSTRUCTIVE SURGERY)

CPT Code
Technique
Description
50860
51800
REC
REC
51820
51940
51980
REC
REC
REC
Ureterostomy, transplantation of ureter to skin

Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior
Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of
posterior vesical neck
Cystourethroplasty with unilateral or bilateral ureteroneocystostomy
Closure, exstrophy of bladder
Cutaneous vesicostomy
OTHER RECONSTRUCTIVE SURGERY - FISTULA

CPT Code
Technique
Description
50920
50930
REC
REC
Closure of ureterocutaneous fistula

Closure of ureterovisceral fistula (including visceral repair)
34
9/25/2012 3:35:38PM
OTHER RECONSTRUCTIVE SURGERY - FISTULA
CPT Code
Technique
Description
51900
51920
51925
53500
REC/FEM
REC/FEM
REC/FEM
REC/FEM
53520
57300
57305
57307
57308
REC
REC/FEM
REC/FEM
REC/FEM
REC/FEM
57310
57311
57320
57330
REC/FEM
REC/FEM
REC/FEM
REC/FEM
Closure of vesicovaginal fistula, abdominal approach

Closure of vesicouterine fistula;
Closure of vesicouterine fistula; with hysterectomy
Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical
obstruction, scarring)
Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure)
Closure of rectovaginal fistula; vaginal or transanal approach
Closure of rectovaginal fistula; abdominal approach
Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy
Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction,
with or without levator plication
Closure of urethrovaginal fistula;
Closure of urethrovaginal fistula; with bulbocavernosus transplant
Closure of vesicovaginal fistula; vaginal approach
Closure of vesicovaginal fistula; transvesical and vaginal approach
OTHER RECONSTRUCTIVE SURGERY - KIDNEY

CPT Code
Technique
Description
50400
REC
50405
REC
50500
50520
50525
REC
REC
REC
50526
50544
REC
REC/LAP
operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple
operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting;
complicated (congenital kidney abnormality, secondary pyeloplasty, solitary kidney,
calycoplasty)
Nephrorrhaphy, suture of kidney wound or injury
Closure of nephrocutaneous or pyelocutaneous fistula
Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal
approach
Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach
Laparoscopy, surgical; pyeloplasty
OTHER RECONSTRUCTIVE SURGERY - TRAUMA

CPT Code
Technique
Description
13131
REC
13132
REC
53502
53505
53510
53515
REC
REC
REC
REC
1.1 cm to 2.5 cm
2.6 cm to 7.5 cm
Urethrorrhaphy, suture of urethral wound or injury, female
Urethrorrhaphy, suture of urethral wound or injury; penile
Urethrorrhaphy, suture of urethral wound or injury; perineal
Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous
35
9/25/2012 3:35:38PM
OTHER RECONSTRUCTIVE SURGERY - URETER
CPT Code
Technique
Description
50700
50715
50722
50725
50727
50728
REC
REC
REC
REC
REC
REC
50740
50750
50760
50770
50780
50782
50783
50785
50800
50900
50940
50947
50948
REC
REC
REC
REC
REC
REC
REC
REC
REC
50949
REC/LAP
Ureteroplasty, plastic operation on ureter (eg, stricture)

Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis
Ureterolysis for ovarian vein syndrome
Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava
Revision of urinary-cutaneous anastomosis (any type urostomy);
Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect
and hernia
Ureteropyelostomy, anastomosis of ureter and renal pelvis
Ureterocalycostomy, anastomosis of ureter to renal calyx
Ureteroureterostomy
Transureteroureterostomy, anastomosis of ureter to contralateral ureter
Ureteroneocystostomy; anastomosis of single ureter to bladder
Ureteroneocystostomy; anastomosis of duplicated ureter to bladder
Ureteroneocystostomy; with extensive ureteral tailoring
Ureteroneocystostomy; with vesico-psoas hitch or bladder flap
Ureteroenterostomy, direct anastomosis of ureter to intestine
Ureterorrhaphy, suture of ureter (separate procedure)
Deligation of ureter
Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent
placement
Unlisted laparoscopy procedure, ureter
REC/LAP
REC/LAP
36
9/25/2012 3:34:48PM

480 Urology Cpts

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480 Urology Cpts

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AVAILABLE CPT CODES BY AREA AND TYPE For Urology

Insertion of a temporary prostatic urethral stent

2012 Accreditation Council for Graduate Medical Education (ACGME)

AVAILABLE CPT CODES BY AREA AND TYPE For Urology

Transurethral drainage of prostatic abscess

Ureterotomy with exploration or drainage (separate procedure)

OTHER - KIDNEY (ENDOUROLOGY/STONE DISEASE)

Nephrolithotomy; removal of calculus

2012 Accreditation Council for Graduate Medical Education (ACGME)

AVAILABLE CPT CODES BY AREA AND TYPE For Urology

Percutaneous nephrostolithotomy or pyelostolithotomy, with or without dilation, endoscopy,

2012 Accreditation Council for Graduate Medical Education (ACGME)

AVAILABLE CPT CODES BY AREA AND TYPE For Urology

Percutaneous nephrostolithotomy or pyelostolithotomy, with or without dilation, endoscopy,

SHOCK WAVE LITHOTRIPSY

Lithotripsy, extracorporeal shock wave

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation,

2012 Accreditation Council for Graduate Medical Education (ACGME)

AVAILABLE CPT CODES BY AREA AND TYPE For Urology

Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser,

2012 Accreditation Council for Graduate Medical Education (ACGME)

AVAILABLE CPT CODES BY AREA AND TYPE For Urology

2012 Accreditation Council for Graduate Medical Education (ACGME)

AVAILABLE CPT CODES BY AREA AND TYPE For Urology

2012 Accreditation Council for Graduate Medical Education (ACGME)

AVAILABLE CPT CODES BY AREA AND TYPE For Urology

2012 Accreditation Council for Graduate Medical Education (ACGME)

AVAILABLE CPT CODES BY AREA AND TYPE For Urology

2012 Accreditation Council for Graduate Medical Education (ACGME)

AVAILABLE CPT CODES BY AREA AND TYPE For Urology

Unlisted procedure, urinary system

Biopsy of testis, needle (separate procedure)

2012 Accreditation Council for Graduate Medical Education (ACGME)

AVAILABLE CPT CODES BY AREA AND TYPE For Urology

Reduction of torsion of testis, surgical, with or without fixation of contralateral testis

2012 Accreditation Council for Graduate Medical Education (ACGME)

AVAILABLE CPT CODES BY AREA AND TYPE For Urology

Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of

Biopsy, prostate; needle or punch, single or multiple, any approach

ULTRASOUND (GENERAL UROLOGY)

2012 Accreditation Council for Graduate Medical Education (ACGME)

AVAILABLE CPT CODES BY AREA AND TYPE For Urology

Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning

URODYNAMICS (GENERAL UROLOGY)

Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter

NON-TRUS BIOPSY ULTRASOUND PROCEDURES

Measurement of post-voiding residual urine and/or bladder capacity by ultrasound,

2012 Accreditation Council for Graduate Medical Education (ACGME)

AVAILABLE CPT CODES BY AREA AND TYPE For Urology

NON-TRUS BIOPSY ULTRASOUND PROCEDURES

Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring)

Ultrasound, scrotum and contents

Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy

Cystectomy, partial; simple

2012 Accreditation Council for Graduate Medical Education (ACGME)

AVAILABLE CPT CODES BY AREA AND TYPE For Urology

Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy)

Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic

Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy,

2012 Accreditation Council for Graduate Medical Education (ACGME)

AVAILABLE CPT CODES BY AREA AND TYPE For Urology

Prostatectomy, retropubic radical, with or without nerve sparing;

Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy,

Renal exploration, not necessitating other specific procedures