© Copyright 2025 American Medical Association. All rights reserved.
Surgical repair of an injury to the male urethra, referred to as urethrorrhaphy, involves the meticulous suturing of a wound or injury to the urethra, specifically the penile urethra. This procedure is typically performed with the patient positioned supine or in a low lithotomy position to provide optimal access to the surgical site. Prior to the procedure, the penis, scrotum, and perineal area are thoroughly prepared and draped to maintain a sterile environment. In cases of penetrating injuries, the surgical team first cleans the wound and may need to debride the corpus spongiosum or corpus cavernosum, which are the erectile tissues surrounding the urethra, to ensure that any damaged tissue is removed and the area is examined for any associated injuries that may require attention. The actual repair of the urethral wound is conducted using sutures, which are placed over a catheter that has been previously inserted transurethrally into the bladder to facilitate proper alignment and healing of the urethra. If the wound is particularly large or contaminated, drains may be placed to assist in fluid management. Following the urethral repair, the corpus spongiosum or corpus cavernosum is closed using absorbable sutures, and the skin is subsequently closed to complete the procedure. This surgical intervention is critical for restoring the integrity of the urethra and ensuring normal urinary function following an injury.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure of urethrorrhaphy is indicated for the surgical repair of injuries to the male urethra, particularly in cases of trauma resulting in urethral wounds. The following conditions may warrant this surgical intervention:
The procedure for urethrorrhaphy involves several critical steps to ensure effective repair of the urethral injury:
After the urethrorrhaphy procedure, patients may require monitoring for any signs of complications, such as infection or urinary retention. A catheter may be left in place transurethrally into the bladder to facilitate urinary drainage during the initial recovery phase. Patients are typically advised on post-operative care, including wound care and signs of potential complications that should prompt immediate medical attention. Follow-up appointments are essential to assess the healing process and ensure the successful restoration of urethral function.
| Short Descr | REPAIR OF URETHRA INJURY | Medium Descr | URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE | Long Descr | Urethrorrhaphy, suture of urethral wound or injury; penile | Status Code | Active Code | Global Days | 090 - Major Surgery | 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) | 2 - Payment restriction for assistants at surgery does not apply 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) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 109 - Procedures on the urethra |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 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). | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | GW | Service not related to the hospice patient's terminal condition | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| Pre-1990 | Added | Code added. |