Find comprehensive information on Transurethral Resection of the Prostate TURP including clinical documentation requirements, medical coding guidelines, and postoperative care. This resource covers TURP diagnosis codes, ICD-10-PCS and CPT codes for TURP procedures, postoperative complications, and best practices for healthcare professionals involved in the diagnosis and treatment of benign prostatic hyperplasia BPH. Learn about TURP recovery, long-term outcomes, and the role of accurate medical coding in optimizing reimbursement for TURP procedures.
Also known as
Transurethral prostatic procedures
Includes various TURP and related procedures.
Diseases of male genital organs
Encompasses conditions like BPH often treated with TURP.
Retention of urine
A common indication for TURP due to prostatic obstruction.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is TURP performed for benign prostatic hyperplasia (BPH)?
Yes
With complications?
No
Is TURP performed for malignancy?
When to use each related code
| Description |
|---|
| Transurethral resection of prostate |
| Simple prostatectomy |
| Transurethral microwave thermotherapy |
Using unlisted TURP codes (e.g., 53899) without proper justification and documentation creates coding and billing compliance risks.
Inaccurate capture of intraoperative or postoperative TURP complications (e.g., bleeding, infection) impacts reimbursement and quality metrics.
Failing to distinguish between benign prostatic hyperplasia (BPH) and prostate cancer during TURP coding leads to incorrect DRG assignment.
Patient presents with lower urinary tract symptoms (LUTS) consistent with benign prostatic hyperplasia (BPH), including urinary frequency, urgency, nocturia, hesitancy, weak stream, straining to void, and incomplete emptying. Digital rectal exam (DRE) revealed an enlarged, smooth, and non-tender prostate. The patient's International Prostate Symptom Score (IPSS) is 25, indicating severe symptoms. Urinalysis was negative for infection. Prostate-specific antigen (PSA) level is 2.5 ngml, within normal limits for age. Based on the patient's symptoms, physical examination findings, and laboratory results, a diagnosis of benign prostatic obstruction (BPO) secondary to BPH was made. Transurethral resection of the prostate (TURP) surgery is recommended to relieve the obstructive symptoms. Risks and benefits of the procedure, including bleeding, infection, retrograde ejaculation, and erectile dysfunction, were discussed with the patient, and informed consent was obtained. Preoperative clearance including electrocardiogram (ECG) and basic metabolic panel (BMP) will be obtained. Postoperative care will include continuous bladder irrigation (CBI) and monitoring for complications. The patient's medical history is significant for hypertension, well-controlled with medication. Current medications include lisinopril and hydrochlorothiazide. Allergies include penicillin. This procedure is medically necessary to improve the patient's quality of life and urinary function. ICD-10 code N40.1, benign prostatic hyperplasia with lower urinary tract symptoms, and CPT code 52601, transurethral resection of the prostate, will be used for billing purposes.