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A prostatotomy is a surgical procedure performed to access the prostate gland, specifically to drain an abscess that has formed within it. This procedure can be executed through various approaches, with the aim of alleviating the complications associated with a prostatic abscess. In the case of CPT® Code 55725, the procedure is classified as complicated, indicating that it involves more intricate surgical techniques compared to a simple prostatotomy, which is represented by CPT® Code 55720. The complicated prostatotomy typically requires a perineal approach, which involves making a significant incision in the mid-perineum, allowing for direct access to the prostate. This procedure is critical in managing prostatic abscesses, as it not only facilitates the drainage of pus but also addresses any loculated areas within the abscess that may require additional intervention. The use of transrectal ultrasound (TRUS) guidance may be employed during the procedure to enhance accuracy in locating the abscess pocket, ensuring effective drainage and minimizing potential complications. Overall, the prostatotomy serves as a vital intervention for patients suffering from prostatic abscesses, particularly when the condition is complicated and necessitates a more extensive surgical approach.
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The procedure is indicated for the following conditions:
The procedural steps for a complicated prostatotomy are as follows:
Post-procedure care for a complicated prostatotomy includes monitoring for signs of infection, managing pain, and ensuring that the drain is functioning properly. Patients may require antibiotics to prevent infection and should be advised on signs of complications, such as increased pain, fever, or unusual drainage from the surgical site. Follow-up appointments are essential to assess healing and to determine when the drain can be safely removed. Recovery may vary based on the individual patient's condition and the extent of the procedure performed.
| Short Descr | DRAINAGE OF PROSTATE ABSCESS | Medium Descr | PROSTATOTOMY EXTERNAL DRG ABSCESS COMPLICATED | Long Descr | Prostatotomy, external drainage of prostatic abscess, any approach; complicated | 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) | 1 - Co-surgeons could be paid, though supporting documentation is required... | 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 | 118 - Other OR therapeutic procedures, male genital |
| 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). | 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. | 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. |
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| Pre-1990 | Added | Code added. |
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