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The procedure described by CPT® Code 55810 refers to a radical perineal prostatectomy, which is a surgical intervention aimed at the removal of the prostate gland and seminal vesicles through an incision made in the perineum, the area between the scrotum and the anus. This approach is typically indicated for patients diagnosed with prostate cancer. The procedure may involve a lymphadenectomy, which is the surgical removal of lymph nodes, performed prior to the prostatectomy if necessary. During the surgery, careful dissection is performed to preserve critical structures such as the genitofemoral nerve and the psoas muscle, which are important for maintaining certain bodily functions. The surgical technique includes exploring the pelvic lymph nodes, biopsying them, and excising any that show signs of malignancy. The radical perineal prostatectomy itself involves a series of meticulous steps to ensure the complete removal of the prostate while minimizing damage to surrounding tissues. This procedure is complex and requires a thorough understanding of the anatomy and careful surgical technique to achieve optimal outcomes for the patient.
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The radical perineal prostatectomy is primarily indicated for the treatment of prostate cancer. The following conditions may warrant this surgical intervention:
The radical perineal prostatectomy involves several detailed procedural steps, which are as follows:
Post-procedure care following a radical perineal prostatectomy includes monitoring for complications such as bleeding, infection, and urinary retention. Patients are typically advised to manage pain with prescribed medications and to follow up with their healthcare provider for ongoing assessment of recovery. The catheter placed during surgery is usually removed after a specified period, depending on the individual’s healing process. Patients may also receive instructions on activity restrictions and pelvic floor exercises to aid in recovery and improve urinary function.
| Short Descr | EXTENSIVE PROSTATE SURGERY | Medium Descr | PROSTATECTOMY PERINEAL RADICAL | Long Descr | Prostatectomy, perineal radical; | 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 | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 114 - Open prostatectomy |
| 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. | 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.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure 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 |
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| 2010-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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