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The procedure described by CPT® Code 53260 involves the excision or fulguration of urethral polyps located in the distal urethra. Urethral polyps are abnormal growths that can occur in the urethra, which is the tube that carries urine from the bladder to the outside of the body. These polyps may present as a single growth or multiple growths and can vary in size. The excision is typically indicated when the polyps are large or have a tendency to recur, necessitating surgical intervention to alleviate symptoms and prevent further complications. The procedure is performed under sterile conditions, with the patient positioned appropriately based on gender to ensure optimal access to the urethra. The use of electrocautery or laser techniques during the excision allows for precise removal of the polyp while minimizing damage to surrounding tissues. Following the excision, the polyp is sent for pathological examination to determine its nature, and a Foley catheter may be placed to assist with urinary drainage during the recovery period.
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Excision or fulguration of urethral polyps in the distal urethra is performed under specific clinical indications, which may include:
The procedure for excising or fulgurating urethral polyps involves several critical steps to ensure successful removal and patient safety:
After the excision of urethral polyps, patients may require specific post-procedure care. This includes monitoring for any signs of complications such as bleeding or infection. The placement of a Foley catheter may be necessary to facilitate urinary drainage and prevent urinary retention. Patients are typically advised to follow up with their healthcare provider for evaluation of the excision site and to discuss the results of the pathological examination of the excised tissue. Recovery time may vary, and patients should be informed about potential symptoms to watch for, such as pain or difficulty urinating, which should be reported to their healthcare provider promptly.
| Short Descr | TREATMENT OF URETHRA LESION | Medium Descr | EXC/FULGURATION URETHRAL POLYP DSTL URETHRA | Long Descr | Excision or fulguration; urethral polyp(s), distal urethra | Status Code | Active Code | Global Days | 010 - Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 109 - Procedures on the urethra |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GC | This service has been performed in part by a resident under the direction of a teaching physician | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | RT | Right side (used to identify procedures performed on the right side of the body) |
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| Pre-1990 | Added | Code added. |
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