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CPT 55867: Laparoscopic Partial Prostate Excision
CPT code 55867 represents a laparoscopic partial excision of the prostate gland and associated intraoperative maneuvers such as vasectomy, urethral incision/enlargement, and hemostasis. This code is used for minimally invasive urologic surgery and may be performed with robotic assistance. Nationally, procedures captured by this code are relevant for surgical utilization, facility planning, and payer coverage policies for advanced urologic interventions.
Key payers examined include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication provides a national-level perspective on coverage and billing practice for this laparoscopic prostate procedure across major public and commercial payers.
Readers will find a concise clinical and billing overview, common billing contexts, and benchmarking and policy-related content where available. The report outlines expected service settings (hospital operating room or ambulatory surgical center) and clarifies the clinical scope of the code, including concurrent procedures noted in the code description. Data not provided in the input — such as specific payer policy language, fee schedules, and associated ICD-10 diagnoses — are identified as unavailable. This summary is intended to support coders, billing managers, and policy analysts seeking a clear national overview of CPT code 55867 and its clinical use.
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Billing Code Overview
CPT code 55867 describes a laparoscopic excision of part of the prostate gland. The procedure includes removal of prostatic tissue via a minimally invasive abdominal approach, with additional procedures performed during the same operative session such as vasectomy, urethral incision and enlargement, and hemostatic measures to prevent blood loss. The description allows for robotic assistance when used.
Service type: Surgical — Laparoscopic/Minimally Invasive Urologic Surgery
Typical site of service: Hospital operating room or ambulatory surgical center (inpatient or outpatient surgical setting depending on clinical indications and facility capabilities)