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CPT 53425: Two-Stage Urethral Repair with Graft Placement
CPT code 53425 represents the second-stage surgical repair and reconstruction of a urethral defect with graft placement. This code documents a planned, staged urologic reconstruction procedure performed to restore urethral continuity, reduce pain, and prevent infection after an initial operative stage. It is relevant nationally because staged urethroplasties are a recognized approach for complex urethral strictures and injuries, with implications for surgical resource use, coding consistency, and post-operative care coordination.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for staged urethral reconstruction, typical sites of service, and payer coverage considerations. The publication outlines common billing modifiers associated with surgical procedures, highlights expected coding and documentation points, and summarizes where data is available versus where input was not provided. The content aims to inform coding specialists, surgical providers, and revenue cycle teams about how CPT code 53425 is used in clinical practice and claims workflows, and what to expect in terms of procedural intent and setting.
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Billing Code Overview
CPT code 53425 describes a two-stage urethral repair with graft placement during the second stage. The provider revises and reconstructs a urethral defect or injury, placing a graft at the previously created defect site to correct the urethral defect, reduce pain, and prevent infection.
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Service type: Reconstructive urologic surgery (two-stage urethral reconstruction with graft placement)
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Typical site of service: Operating room in an inpatient or outpatient surgical setting; often performed by a urologist specializing in reconstructive procedures.