“Effective January 1, 2023, anyone who performs a laparoscopic simple prostatectomy should be using CPT code 55867 to report that procedure,” says Jonathan Rubenstein, MD.
In this video, Jonathan Rubenstein, MD, discusses the new laparoscopic simple prostatectomy code CPT 55867. Rubenstein is compliance officer and medical director of coding and reimbursement, United Urology Group and Chesapeake Urology, in Towson, Maryland.
Another important update is the new laparoscopic simple prostatectomy code: CPT code 55867. Interestingly, I got a lot of questions this year that 55866 was eliminated because of 55867. This seemed to be a rumor that was going around. It's not true. 55866 is laparoscopic radical prostatectomy, which is done for cancer. 55867 is laparoscopic simple prostatectomy done for [benign prostatic hyperplasia]. Now, unlike our open simple prostatectomy codes, 55821 and 55831, which specify whether it's a retropubic or suprapubic approach, the laparoscopic approach is laparoscopic, so it doesn't matter what's done internally whether one chooses a retropubic or suprapubic approach. Once it goes laparoscopically, there's 1 code because the approach itself is laparoscopic. Effective January 1, 2023, anyone who performs a laparoscopic simple prostatectomy should be using CPT code 55867 to report that procedure.
This transcript was edited for clarity.