Cpt code for cystolitholapaxy

Letter to the editor re: Percutaneous cystolitholapaxy: A safe and effective alternative to open stone surgery for the management of complex bladder stones in patients with no urethral access. Goldsmith et al., J Clin Urol, 4 March 2019

Can you please advise the CPT code for "Cystolitholapaxy"? Your help is greatly appreciated. Thank you. 0 K. KaylaRieken True Blue. Messages 505 Location Waukee, IA Best answers 0. Mar 8, 2022 #2 52317 or 52318. Depends what the size is. 0 1. 1CodingTeam24 Networker. Messages 59 Location Bolingbrook, IL Best answers 0.If you get healthcare services and receive a statement or bill, you’ll see medical CPT codes on the paperwork. But what do they all mean? Here’s a guide to reading CPT codes to see...The right prostatic lobe was removed and fulguration was performed for hemostasis. The code descriptors of both CPT code 52601, Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are ...Apr 16, 2019 · To code the encounter, your options are as follows: 52224 – Cystourethroscopy, with fulguration [including cryosurgery or laser surgery] or treatment of MINOR (less than 0.5 cm) lesion (s) with or without biopsy. 52234 – Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor (s ... Ureteroscopic Stone Management and Stent Insertion. 52332 Cystourethroscopy, with insertion of indwelling ureteral stent. $500 $162. 13.92 4.51. 52352 Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus. See Note $368. See Note 10.25.2023 Coding & Payment Quick Reference Endoscopic Ultrasound-Guided Transluminal Drainage and Endoscopic Necrosectomy Procedures of Pancreatic Pseudocyst and Walled-Off Necrosis Payer policies will vary and should be verified prior to treatment for limitations on diagnosis, coding or site of service requirements.

Lithotripsy and Ablation Procedures on the Kidney. 50590. 50592. 50593. On a CPT® code's hierarchy page, you get to see a medical code's neighbors, including the CPT® codes' official long descriptors. Seeing related codes helps coders choose the correct code, improving their accuracy rate.Medical Coding. Urology. Wiki NAME OF PROCEDURE: Cystoscopy with left stone manipulation with stent placement. Thread starter bailsb; Start date Jan 13, 2011; Create Wiki B. bailsb Networker. Messages 52 Location Belen, NM Best answers 0. Jan 13, 2011 #1 Can anyone help? I'm thinking 52332, 52352-51, and 74480-26 ...We present a case of cystolitholapaxy using the LithoClast Trilogy lithotripter device per urethra via a rigid 26F nephroscope in a 36-year-old female with chondrodysplasia, paraplegia, contractures, and history of bladder augment managed with clean intermittent catheterization. The stone was 4cm in diameter with an average of …Dec 1, 2019 · In the retrograde-assisted percutaneous cystolitholapaxy (RPCCL) group, a Benique was conducted through the urethra into the bladder; palpating the suprapubic region, an about 1.5 cm incision was done over the tip, then an Amplatz sheath was placed over it, treading into the bladder; further cystolitholapaxy was done by a routine order. The coding options listed within this guide are commonly used codes and are not intended to be an all-inclusive list. We recommend consulting your relevant manuals for appropriate coding options. There are two CPT® Codes for litholapaxy depending on the stone size. Both codes are listed below and are referenced throughout this guide. CPT®. Code1. Jun 7, 2016 · Various techniques have been used for the management of bladder calculi, such as open cystolithotomy, transurethral cystolitholapaxy (TUCL), SWL, and percutaneous cystolitholapaxy (PCCL) , . However, the ideal treatment option for bladder stones remains controversial [3] . Current Procedure Terminology codes are available to members of and subscribers to the American Medical Association, which holds the trademark on CPT codes. Users of the AMA’s CPT ...

Holmium laser prostate surgery is a minimally invasive treatment for an enlarged prostate. Also called holmium laser enucleation of the prostate (HoLEP), the procedure uses a laser to remove tissue that is blocking urine flow through the prostate. A separate instrument is then used to cut the prostate tissue into easily removable fragments.Using the lithoclast trilogy for cystolitholapaxy on a 4 cm bladder stone per urethra. Urol Case Rep 1(26):100964. Article Google Scholar Byrne MHV, Dragos L, Winterbottom A, Saeb-Parsy K, Wiseman OJ (2020) Percutaneous cystolitholapaxy using the LithoClast trilogy for multiple bladder stones. J Endourol Case Rep 6(3):118–120ChiroCode.com for Chiropractors CMS 1500 Claim Form Code-A-Note - Computer Assisted Coding Codapedia.com - Coding Forum Q&A CPT Codes DRGs & APCs DRG Grouper E/M Guidelines HCPCS Codes HCC Coding, Risk Adjustment ICD-10-CM Diagnosis Codes ICD-10-PCS Procedure Codes Medicare Guidelines NCCI Edits …AWS today launched Amazon Honeycode, a no-code environment built around a spreadsheet-like interface that is a bit of a detour for Amazon’s cloud service. Typically, after all, AWS...

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Trusted Urology & Prostate Cancer Physician providing a variety of services to Central Midtown, New York and East Hills, NY. Contact us by phone at 607-689-9383 or visit us at 485 Madison Avenue, 21 st floor , New York, NY 10022 | David B Samadi, MDThey help diagnose problems related to urine control. These can be incontinence, difficulty emptying the bladder, overactive bladder, obstructions or frequent infections. Cystometry is used to measure how much urine the bladder can hold. It also measures pressure inside the bladder, and how full it is when you have the urge to go.Jun 1, 2020 · Introduction: Management of intravesical calculi is not uncommon at the time of bladder outlet surgery.1 With advancement of endourologic surgery and laser technology for lithotripsy, holmium laser cystolitholapaxy (HLC) was first reported in 1997 that helped transform a traditionally open procedure into an endoscopic one.2 HLC can be effectively performed at the time of benign prostatic ... Prostate gland Enlarge image. Transurethral incision of the prostate (TUIP) is a procedure to treat urinary symptoms caused by an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH). TUIP is generally used in younger men with a small prostate who are concerned about fertility. A combined visual and surgical instrument ...

Medical Coding. Urology . Wiki Cystolitholapaxy < 2 cm with Suprapubic catheter replacement. Thread starter ... . Wiki Cystolitholapaxy < 2 cm with Suprapubic catheter replacement. Thread starter carol52; Start date Dec 10, 2022; Create Wiki C. carol52 Expert. Messages 258 Location Fayetteville, Arkansas Best answers 0. Dec 10, …The Current Procedural Terminology (CPT) code range for Endoscopy-Cystoscopy, Urethroscopy, Cystourethroscopy Procedures on the Bladder 52000-52010 is a medical code set maintained by the American Medical Association.Cystolitholapaxy is a surgical procedure used to treat stones in the urinary bladder. The procedure is carried out with the help of a cystoscope and can be transurethral (through the urethra) or ...For a typical insertion of a Foley catheter for urethral dilation, you’d report code 51702 (Insertion of temporary indwelling bladder catheter; simple (eg, Foley)). However, a quick NCCI PTP edit check reveals a modifier indicator of “0” between 52317 and 51702. This means that 51702 is bunded into 52317, without exception.Step 1: Know Which Procedure Codes to Report. If your urologist performs a PCNL, you can choose from the following CPT® codes: 50080 (Percutaneous nephrostolithotomy or pyelostolithotomy, with or without dilation, endoscopy, lithotripsy, stenting, or basket extraction; up to 2 cm) 50081 (… over 2 cm) Remember: When you …Wikipedia has its share of detractors who question the reliability and accuracy of the site's entries. To appease critics and combat bias, Wikipedia will institute an optional feat...Jun 7, 2016 · Various techniques have been used for the management of bladder calculi, such as open cystolithotomy, transurethral cystolitholapaxy (TUCL), SWL, and percutaneous cystolitholapaxy (PCCL) , . However, the ideal treatment option for bladder stones remains controversial [3] . Aug 24, 2023 · The CPT Code for Percutaneous Cystolitholapaxy is 50715. This code is used to describe a minimally invasive procedure performed to remove bladder stones. During the procedure, a small incision is made in the patient's back and a scope is inserted into the bladder to break up and remove the stones. The indwelling stent is not bundled with the lithotripsy. For bladder stones treated by laser ablation or lithotripsy, use 52317 ( Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small [less than 2.5 cm]) and 52318 (... complicated or large [over 2.5 cm]) with 594.1 ( Other calculus ...Ureteroscopic Stone Management and Stent Insertion. 52332 Cystourethroscopy, with insertion of indwelling ureteral stent. $500 $162. 13.92 4.51. 52352 Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus. See Note $368. See Note 10.25.Laser PVP surgery is a minimally invasive treatment for an enlarged prostate. The procedure uses a laser to perform photoselective vaporization of the prostate (PVP). During laser PVP surgery, a tube with an imaging system (cystoscope) is inserted into the penis. A surgeon places a laser through the cystoscope to burn away excess …

In summary, single-stage cystolithotomy during robotic radical prostatectomy is easy to perform given the augmented dexterity and repertoire of the available robotic grasping instruments, causes minimal morbidity, and obviates the need for prior transurethral cystolithotripsy or cystolitholapaxy that could potentially result in urethral ...

On a common scale, physician work RVUs compare the work involved with performing a service to all other services and procedures. For example, removing a foreign body from an eye (CPT ® code 65205) is assigned 0.49 work RVUs. But performing a minor eye wound repair (65270) is valued at 1.95 work RVUs.Laser PVP surgery is a minimally invasive treatment for an enlarged prostate. The procedure uses a laser to perform photoselective vaporization of the prostate (PVP). During laser PVP surgery, a tube with an imaging system (cystoscope) is inserted into the penis. A surgeon places a laser through the cystoscope to burn away excess …You’ve probably seen somewhere someone saying coding vs scripting. When I first saw that, I thought that those two are the same things, but the more I learned I found out that ther...If the “natural” new opening is used, the most accurate code to use is CPT code 52317 (litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small [less than 2.5 cm]) or CPT code 52318 (litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of ...There are two CPT® Codes for litholapaxy depending on the stone size. Both codes are listed below and are referenced throughout this guide. Physician Relative Value Units …It would be appropriate to add the 59 modifier to codes 50392 and 74475 due to CCI edits preventing this type of coding when a single continuous nephroureteral stent was placed. If the patient returns to evaluate the tube function (e.g., leaking catheter), a catheter check of the tube may be performed by injecting contrast and obtaining images.To code the encounter, your options are as follows: 52224 – Cystourethroscopy, with fulguration [including cryosurgery or laser surgery] or treatment of MINOR (less than 0.5 cm) lesion (s) with or without biopsy. 52234 – Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder …Bladder Stone Removal (Cystolitholapaxy) Postoperative Instructions. Request an Appointment. The Urology Group. www.urologygroupvirginia.com. 19415 Deerfield Avenue • Suite 112 • Lansdowne, VA 20176 • 703-724-1195; 1860 Town Center Drive • Suites 150 & 160 • Reston, VA 20190 • 703-480-0220;

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Dr. is wanting to charge for a Cystolitholapaxy for crushing the stone off of the catheter with a lithotripsy along with a replacement of or exchange of the supra-pubic catheter.. CPT codes: 52317- states removal of bladder stones.... to me this is not according do Dr. dictation removal of a bladder stone.The best online medical billing and coding schools award an associate degree and prepare you for certification at a flexible pace and affordable rate. Written by TBS Staff Writers ...Cite this article as: Byrne MHV, Dragos L, Winterbottom A, Saeb-Parsy K, Wiseman OJ (2020) Percutaneous cystolitholapaxy using the LithoClast Trilogy for multiple bladder stones, Journal of Endourology Case Reports 6:3, …However, the coding rules state that a diagnostic test leading to a therapeutic procedure should be paid along with the therapeutic procedure. As a result, you will be denied payment for the 52005; however, you should be paid when you appeal if you have clearly stated in the documentation that the retrograde was diagnostic leading to the ...Step 1: Know Which Procedure Codes to Report. If your urologist performs a PCNL, you can choose from the following CPT® codes: 50080 (Percutaneous nephrostolithotomy or pyelostolithotomy, with or without dilation, endoscopy, lithotripsy, stenting, or basket extraction; up to 2 cm) 50081 (… over 2 cm) Remember: When you …Jun 7, 2023 · Let us look at the 4 CPT codes that have been proposed to describe this situation: • 52310: Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple. • 52315: Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate ... CPT® Code1 Description RVUS Physician Payment Allowed Amount Facility Payment Allowed Amount Work Total Office Total Facility In-Office In-Facility Hospital Outpatient ASC 51715 Endoscopic injection of implant material into the submucousal tissues of the urethra and/or bladder neck 3.73 11.22 5.82 $ 388.28 $ 201.41 $ 3,140.04 $ 1,952.72CPT Code 51065, Surgical Procedures on the Bladder, Incision Procedures on the Bladder - Codify by AAPC. Select. Code Sets; Indexes; Code Sets and Indexes; ... Percutaneous Cystolitholapaxy. I actually sent my op note into the AUA coding hotline. They recommended me using CPT code 51065.... [ Read More ] View All. Coding … ….

2023 Coding & Payment Quick Reference Endoscopic Ultrasound-Guided Transluminal Drainage and Endoscopic Necrosectomy Procedures of Pancreatic Pseudocyst and Walled-Off Necrosis Payer policies will vary and should be verified prior to treatment for limitations on diagnosis, coding or site of service requirements.In the healthcare industry, accurate coding is essential for proper billing and reimbursement. Two important coding systems used are CPT codes and diagnosis codes. These codes play...Percutaneous cystolitholapaxy is a safe and effective approach for the removal of moderate-sized bladder calculi in adults with prior lower urinary tract reconstruction utilizing bowel. Its efficacy and minimally invasive nature make it the approach of choice at our institution.Indications for Cystolitholapaxy. Bladder stones are treated surgically by endoscopic cystolitholapaxy or open surgery. The decision between endoscopic or open surgery depends on the size of the stones, number of stones and size of the prostate, if simultaneous treatment of benign prostatic hyperplasia is sought. Contraindications for ...A. General. Ultrasound diagnostic procedures utilizing low energy sound waves are being widely employed to determine the composition and contours of nearly all body tissues except bone and air-filled spaces. This technique permits noninvasive visualization of even the deepest structures in the body. The use of the ultrasound …Ureteroscopic Stone Management and Stent Insertion. 52332 Cystourethroscopy, with insertion of indwelling ureteral stent. $500 $162. 13.92 4.51. 52352 Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus. See Note $368. See Note 10.25.The Current Procedural Terminology (CPT) code range for Endoscopy-Cystoscopy, Urethroscopy, Cystourethroscopy Procedures on the Bladder 52000-52010 is a medical code set maintained by the American Medical Association. Cpt code cystolitholapaxy. Cpt code for cystolitholapaxy with holmium laser. Transurethral cystolitholapaxy cpt code. Cystolitholapaxy procedure cpt code. What is the cpt code for ureteroscopy. Cpt code for cystoscopy with cystolitholapaxy. Percutaneous cystolitholapaxy cpt code. Can cpt code 58661 and 58662 be billed together. Cystolitholapaxy is a minimally invasive medical procedure used to treat bladder stones by breaking them into smaller fragments, which can then be easily removed or passed through the urinary tract. This procedure typically involves the use of a cystoscope, a thin tube with a camera and light, which is inserted into the urethra and guided into the bladder. …Percutaneous suprapubic cystolithotripsy is an effective and safe technique for treating large bladder calculi. It is minimally invasive, avoids urethral injury, and, in combination with the pneumatic Swiss Lithoclast, can be used to fragment and remove large and hard bladder calculi. Cpt code for cystolitholapaxy, We present a case of cystolitholapaxy using the LithoClast Trilogy lithotripter device per urethra via a rigid 26F nephroscope in a 36-year-old female with chondrodysplasia, paraplegia, contractures, and history of bladder augment managed with clean intermittent catheterization. The stone was 4cm in diameter with an average of …, Jan 14, 2014 · When questioning the physician about billing 52317, rather than 52318, he replied: “As far as I know, it is always based on overall or total stone burden. Treating several 2-cm stones to equal a total stone burden of 6 cm is different and requires more work, more OR time, etc. than treating a single stone of 2 cm. , OVERVIEW Stones occur within the urinary bladder due to incomplete bladder emptying, urinary stasis, and/or chronic bladder infections. With time, the urine that is not voided begins to harbor bacteria and contain higher amounts of mucus, sediment and urinary minerals, eventually resulting in a bladder calculus. Surgical options for patients with symptomatic bladder stones include…, This changed on Jan. 1, 2009 when CPT® updated the coding for a staged TURP. Official guidance: CPT® states the following: “For first stage transurethral partial resection of prostate, use 52601. For second stage partial resection of prostate, use 52601 with modifier 58.”. “Although, in general, one should still consider and follow this ..., Mar 4, 2019 · Letter to the editor re: Percutaneous cystolitholapaxy: A safe and effective alternative to open stone surgery for the management of complex bladder stones in patients with no urethral access. Goldsmith et al., J Clin Urol, 4 March 2019 , Holmium laser prostate surgery is a minimally invasive treatment for an enlarged prostate. Also called holmium laser enucleation of the prostate (HoLEP), the procedure uses a laser to remove tissue that is blocking urine flow through the prostate. A separate instrument is then used to cut the prostate tissue into easily removable fragments., Best answers. 17. Apr 13, 2019. #2. I would think the correct code for this would be 52310 or 52315 (for a foreign body removal). These both bundle to the cystolitholapaxy, but 52315 is allowed with a modifier which I believe would be defensible in this case since it is clearly a separate procedure from the removal of the stone, and the ..., Z87.442 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM Z87.442 became effective on October 1, 2023. This is the American ICD-10-CM version of Z87.442 - other international versions of ICD-10 Z87.442 may differ. Applicable To., CPT stands for Current Procedural Terminology and is administered by the AMA (American Medical Association). HCPCS stands for Healthcare Common Procedural Coding System and is base..., Materials and Methods. Between January 2015 and May 2016, 85 patients with bladder stones who attended the Urology clinic, Department of Urology RIMS Hospital, Imphal, Manipur, India, underwent transurethral cystolithotripsy with Holmium under LA., Here are three examples of coding 52005 and 74420 together: Example 1: The physician performs a retrograde pyelogram in the hospital with only a radiology technician to operate the equipment. This should be billed 52005 and 74420-26. The -26 modifier (professional component) indicates that the urologist interpreted the radiology results. This ..., Apr 13, 2020 · For a typical insertion of a Foley catheter for urethral dilation, you’d report code 51702 (Insertion of temporary indwelling bladder catheter; simple (eg, Foley)). However, a quick NCCI PTP edit check reveals a modifier indicator of “0” between 52317 and 51702. This means that 51702 is bunded into 52317, without exception. , Aug 1, 2023 · Percutaneous cystolitholapaxy is a safe and effective approach for the removal of moderate-sized bladder calculi in adults with prior lower urinary tract reconstruction utilizing bowel. Its efficacy and minimally invasive nature make it the approach of choice at our institution. , Bladder stones (Cystolithotomy), see also transurethral cystolitholapaxy; Removal of foreign bodies in the urinary bladder; Treatment of bladder tamponade and severe bladder bleeding, which cannot be managed via transurethral surgery; …, Answer: When your urologist changes a suprapubic tube, you should code the procedure using either 51705 ( Change of cystostomy tube; simple) or 51710 ( Change of cystostomy tube; complicated ). Nothing in the CPT code descriptor indicates a sutured catheter. Also, the kind of tube the urologist uses doesn't affect your coding choice., Looking for a code for this.. I've seen 52317/51040 for lithopaxy, but since the stone was removed in this case maybe 52315/51040? I've also been looking at 51065 but it's a bladder stone not a ureteral stone. Foley cather was placed into bladder to straight drain., 52315 - CPT® Code in category: Cystourethroscopy, with removal of foreign body, calculus, or ureteral... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more., Hello I have a Cystolitholapaxy stone size greater than 2.5cm along with per Dr. a Channel TURP 1). Cystolitholapaxy 2). Channel TURP 3). Bilateral retrograde pyelogram " Bladder stone attached to the bladder mucosa and the circumferential fashion around the bladder neck.., CPT Codes. Surgery. Surgical Procedures on the Urinary System. Surgical Procedures on the Bladder. Incision Procedures on the Bladder. 51050. 51045. 51050. 51060., QR code payments work like other contactless payment methods. QR codes have many uses and benefits, so read our guide to learn more. Retail | What is REVIEWED BY: Meaghan Brophy Me..., CPT code 97110 provides information about medical procedures and services to payers and indicate that the procedure involves therapeutic exercises that develop endurance, range of ..., TechCrunch will not tolerate any type of harassment of attendees, including the following but not limited to: Because of the following but not limited to: As an attendee, you are e..., ICD-10 CM Diagnosis Code Description Code Description Code Description SpaceOAR™ and SpaceOAR Vue™ Hydrogel Syst ems 2024 Coding & Payment Quick Reference. ASC Payment – Medicare. 55874* Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed., Answer: The correct code choice is based on the size of the stone the urologist treated. Check for the stone’s size in the operative report, and then choose either 52317 ( Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small [less than 2.5 cm]) or 52318 ( … complicated or large ..., Hello I have a Cystolitholapaxy stone size greater than 2.5cm along with per Dr. a Channel TURP 1). Cystolitholapaxy 2). Channel TURP 3). Bilateral retrograde pyelogram " Bladder stone attached to the bladder mucosa and the circumferential fashion around the bladder neck.., CPT code 51992 . Laparoscopic sling operation of stress incontinence (fascia or synthetic) CPT code 53500 . Urethrolysis, travsvaginal, secondary, open, including cystourethroscopy. CPT codes and RVU table from 2021 National Physician Fee Schedule: CPT code Description Work RVU Total RVU’s (Facility) 57288 Sling operation for SUI, Kidney stones affect 1 in 500 Americans each year, causing significant pain and healthcare expense. Surgical options for patients with symptomatic kidney stones include extracorporeal shock wave lithotripsy (ESWL), ureteroscopy, and percutaneous nephrolithotomy (PCNL). Your renal anatomy, stone composition, and body habitus all …, Cystolitholapaxy. Pronounced: sis-TOE-lih-thal-o-pak-see. by Deanna M. Neff, MPH. Definition. Cystolitholapaxy is a procedure to break up bladder stones into smaller pieces and remove them. Bladder stones are minerals that have built up in the bladder. Ultrasonic waves or lasers may be delivered through a tool called a cystoscope to break up ..., Jul 28, 2023 · CPT code 52356 is the code used to bill for cystolitholapaxy. This code was introduced in the 1990s and has undergone several changes since then. The current code, 52356, was established in 2003 and is used to bill for the entire procedure, including the use of equipment and any necessary anesthesia. , Published on Mon Oct 01, 2001. When a patient's bladder has been removed and there is either a loop of intestine (ileal conduit) or an artificial bladder (intestinal continent pouch), the urologist is in a quandary when coding procedures that normally involve looking into the bladder, such as a cystourethroscopy (52000) and related procedures., Jul 20, 2021 · Best answers. 0. Jul 21, 2021. #4. Usually prostatic calculi are small. Code 52317 as this code includes bladder and urethra as this code and 52318 fall under the heading of urethra and bladder in the CPT manual. bethdreaux. 0. T. , For vasectomy coding, when is it appropriate to use 55450 instead of 55250? My coder is telling me that 55450 is an outdated code that should no longer be used. Code 55450 (ligation [percutaneous] of vas deferens, unilateral or bilateral [separate procedure]) has finally been deleted, removing the confusion for all.,