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CPT 52648: Transurethral Resection of Prostate for BPH
CPT code 52648 represents transurethral resection of the prostate (TURP), a common endoscopic surgical treatment for benign prostatic hyperplasia (BPH) that relieves bladder outlet obstruction and lower urinary tract symptoms in middle-aged and older men. Nationally, TURP remains a frequently billed urologic procedure with implications for surgical practice patterns, facility resource use, and payer coverage policies.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, typical sites of service, and the service type. The publication summarizes benchmarks and payer coverage considerations, highlights common modifiers used in billing for perioperative and technical variations, and outlines where data was available or is lacking. Policy updates affecting surgical coding, bundling, and hospital outpatient versus ambulatory surgery center settings are noted where relevant.
This summary provides clinicians, coding specialists, and policy analysts with a focused reference on CPT code 52648, clarifying the clinical indication, operational setting, and the scope of payer coverage discussed in the accompanying material. Data not available in the input are explicitly identified and omitted from the analysis.
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Billing Code Overview
CPT code 52648 describes a transurethral resection of the prostate (TURP) performed to treat benign prostatic hyperplasia (BPH). The procedure involves endoscopic removal of prostatic tissue via the urethra to relieve bladder outlet obstruction and lower urinary tract symptoms such as urgency, frequency, weak stream, straining, recurrent infection, and incomplete bladder emptying.
Service type: Surgical — endoscopic urologic procedure
Typical site of service: Hospital operating room or ambulatory surgery center, often with short inpatient or outpatient recovery depending on patient comorbidity and perioperative course.
Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.