HIDDEN PENIS REPAIR

Pt is 4 month old with entrapped penis after newborn circumcision. OP involves "release of concealed penis, redo circumcision, coverage of deficient ventral penile skin using excess dorsal penile skin-raised Byars flaps. The initial circ resulted in too much of the penile skin being excised. There was not enough skin for skin coverage and flaps had to be raised to make up for this, especially ventrally." This is a lengthy OP, and cannot use snippit on facility document. If need be, I'll type the whole thing, but hoping some else has seen this kind of repair.

I am thinking it is an unspecified code, 55899, since redo circumcision doesn't seem to be involved enough to capture what was done.


Thank you all,

Eleanor

Eleanor R Norling, RHIT, CCS, CPC-H

Comments

  • edited May 2017
    Greetings! My pediatric urologists do a significant amount of hidden penis repairs. I use CPT code 54300. I know the short description can be somewhat deceiving but I think the long description accurately describes the work involved in this type of repair. I hope this helps. Thank you!

    Respectfully,
    Kendra

    Kendra Songer, CPC, CUC
    Medical Records Coder

    Department of Urology
    UT Health San Antonio
    7703 Floyd Curl Drive, Mail Code 7845
    San Antonio, Texas 78229
    210.567.1235 (W)
    210.567.5977 (F)
    songer@uthscsa.edu
    uthscsa.edu
  • edited May 2017
    Eleanor R Norling, RHIT, CCS, COC
  • edited May 2017
    54300

    Christy Shanley CPC, CUC|Finance Director|Billing Manager
    Department of Urology|UC Irvine Health
    333 City Blvd West, Suite 2170
    Orange, CA 92868
    Phone: 714-456-6357|Fax: 888.378.5391
    cshanley@uci.edu
  • edited May 2017
    Ms. Shanley:

    Do your urologists perform tumor thrombus/radical nephrectomy cases? If so, how do you typically code them? Any advice is greatly appreciated. Thank you!

    Respectfully,
    Kendra

    Kendra Songer, CPC, CUC
    Medical Records Coder

    Department of Urology
    UT Health San Antonio
    7703 Floyd Curl Drive, Mail Code 7845
    San Antonio, Texas 78229
    210.567.1235 (W)
    210.567.5977 (F)
    songer@uthscsa.edu
    uthscsa.edu
  • edited May 2017
    Hi Kendra

    Yes we do quite a few radical nephrectomy cases what did you need. You can email me directly

    Christy Shanley CPC, CUC|Finance Director|Billing Manager
    Department of Urology|UC Irvine Health
    333 City Blvd West, Suite 2170
    Orange, CA 92868
    Phone: 714-456-6357|Fax: 888.378.5391
    cshanley@uci.edu
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