Green Light Laser Prostatectomy Cpt Code
Green light laser treatment is a minimally invasive therapy that evaporates prostate tissue which is blocking the flow of.
Green light laser prostatectomy cpt code. Green light laser surgery for prostate is one of the newest minimally invasive treatment options for benign prostatic hyperplasia. 1 i have a patient that had a green light laser 52648 years ago and went back for another prostate procedure. The anesthesia can be general spinal or nerve blocking along with sedation. If a laser procedure is done you code the laser cpt code whether it s the first one or a repeat.
So 52648 is not a once in a lifetime code unless the insurance company dictates such correct. Green light laser surgery for the prostate refers to photoselective vaporization of the prostate using a green light laser also known as ktp laser it is used in the treatment of benign prostatic hyperplasia or more commonly known as enlargement of the prostate gland. Greenlight laser prostatectomy or photo selective vaporisation of the prostate pvp is a relatively new procedure for the treatment of urinary blockage caused by non cancerous enlargement of the prostate otherwise known as benign prostatic hyperplasia. The green light laser beam is used to vaporize the obstructing inner part of the prostate gland itself that is causing the urinary symptoms that are reducing the quality of life of the patient.
Both holep and greenlight xps laser vaporization of the prostate begins with the insertion of a resectoscope transurethrally. Before this time enlargement of the prostate was treated either with medication or for the more serious cases transurethral resection of prostate. Green light laser surgery for prostate is an effective procedure for treating this condition. The surgeon inserts a cystoscope a tube equipped with a light through the urethra to the prostate gland.
You may also see the greenlight laser referred to as a ktp laser. Greenlight laser pvp procedure. I had a feeling the 52649 was not a direct match to the 52648. Other names for the procedure include photovaporization of the prostate or photoselective vaporization of the prostate pvp or laser ablation of the prostate.
Greenlight laser pvp is an outpatient procedure performed by a urologist with specialized training in the technique. All surgeries will be performed under a spinal or general anaesthesia. 52630 is for a transurethral resection for regrowth. My impression is that if a pt has a turp 52601 or 52648 they are once in a lifetime code regardless of the technique used and 52630 should be billed any other time this was done.
The laser fiber is guided through the scope and the prostate tissue is then quickly and gently vaporized. In case of coexisting vesical stone holmium laser cystolithotripsy will be done first regardless the type of next procedure for the prostate.