Click to Zoom

1
in support of:
2
Table of Contents
ICD-10 .................................................................................. 5
Male Genital Organs ............................................................ 6
Urinary Tract ........................................................................ 7
Glomerular Diseases ............................................................ 8
Renal Tubulo-Interstitial Diseases ..................................... 13
Renal Failure ...................................................................... 17
Urolithiasis ......................................................................... 18
Other Disorders of the Kidney and Ureter ........................ 19
Other Diseases of the Urinary System ............................... 22
Diseases of the Male Genital Organs ................................. 26
Non-inflammatory Disorders of the
Female Genital Tract .................................................... 31
Other Disorders of the Genitourinary Tract ....................... 33
Philhealth Computation ............................................... 34-35
RVU .................................................................................... 37
KIDNEY ............................................................................... 38
Incision ......................................................................... 38
Excision ........................................................................ 39
Renal Transplantation .................................................. 39
Introduction ................................................................. 40
Repair ........................................................................... 40
Endoscopy .................................................................... 41
Other Procedures ......................................................... 42
URETER .............................................................................. 42
Incision ......................................................................... 42
Excision ........................................................................ 42
Repair ........................................................................... 42
Endoscopy .................................................................... 44
BLADDER ............................................................................ 45
Incision ......................................................................... 45
Excision ........................................................................ 46
Repair ........................................................................... 47
Endoscopy / Cystoscopy/ Urethroscopy /
Cystourethroscopy ....................................................... 48
3
TRANSURETHRAL SURGERY ............................................... 49
Urethra and Baldder .................................................... 49
Ureter and Pelvis .......................................................... 51
Vesical Neck and Prostate ............................................ 52
URETHRA ........................................................................... 53
Incision ......................................................................... 53
Excision ........................................................................ 54
Repair ........................................................................... 54
Manipulation ............................................................... 56
PENIS .................................................................................. 56
Incision ......................................................................... 56
Destruction .................................................................. 56
Excision ........................................................................ 57
Introduction ................................................................. 57
Repair ........................................................................... 58
TESTIS ................................................................................. 60
Excision ........................................................................ 60
Repair ........................................................................... 60
EPIDIDYMIS ........................................................................ 61
Incision ......................................................................... 61
Excision ........................................................................ 61
Repair ........................................................................... 61
SCROTUM .......................................................................... 62
Incision ......................................................................... 62
Excision ........................................................................ 62
Repair ........................................................................... 62
VAS DEFERENS ................................................................... 63
Incision ......................................................................... 63
Repair ........................................................................... 63
SPERMATIC CORD .............................................................. 63
Excision ........................................................................ 63
SEMINAL VESICLES ............................................................. 63
Incision ......................................................................... 63
Excision ........................................................................ 63
PROSTATE ........................................................................... 64
Incision ......................................................................... 64
Excision ........................................................................ 64
4
ICD-10
5
C60-C63
Male genital organs
C00-C75
Malignant neoplasms, stated or presumed to
be primary, of specified sites, except of
lymphoid, haematopoietic and related tissue
Malignant neoplasms of male genital organs
Includes: skin of male genital organs
Malignant neoplasm of penis
Prepuce
Foreskin
Glans penis
Body of penis
Corpus cavernosum
Overlapping lesion of penis
Penis, unspecified
Skin of penis NOS
Malignant neoplasm of prostate
Malignant neoplasm of testis
Undescended testis
Ectopic testis [site of neoplasm]
Retained testis [site of neoplasm]
Descended testis
Scrotal testis
Testis, unspecified
Malignant neoplasm of other and unspecified
male genital organs
Epididymis
Spermatic cord
Scrotum
Skin of scrotum
Other specified male genital organs
Seminal vesicle
C60-C63
C60
C60.0
C60.1
C60.2
C60.8
C60.9
C61
C62
C62.0
C62.1
C62.9
C63
C63.0
C63.1
C63.2
C63.7
6
C63.8
C63.9
Tunica vaginalis
Overlapping lesion of male genital organs
Malignant neoplasm of male genital organs
whose point of origin cannot be classified to
any one of the categories C60-C63.7
Male genital organ, unspecified
Male genitourinary tract NOS
C64-C68
Urinary tract
C00-C75
Malignant neoplasms, stated or presumed to
be primary, of specified sites, except of
lymphoid, haematopoietic and related tissue
Malignant neoplasms of urinary tract
Malignant neoplasm of kidney, except renal
pelvis
Excludes : renal
: calyces
: pelvis
Malignant neoplasm of renal pelvis
Pelviureteric junction Renal calyces
Malignant neoplasm of ureter
Excludes : ureteric orifice of bladder
Malignant neoplasm of bladder
Trigone of bladder
Dome of bladder
Lateral wall of bladder
Anterior wall of bladder
Posterior wall of bladder
Bladder neck
Internal urethral orifice
Ureteric orifice
Urachus
C64-C68
C64
C65
C66
C67
C67.0
C67.1
C67.2
C67.3
C67.4
C67.5
C67.6
C67.7
7
C67.8
C67.9
C68
C68.0
C68.1
C68.8
C68.9
Overlapping lesion of bladder
Bladder, unspecified
Malignant neoplasm of other and unspecified
urinary organs
Excludes : genitourinary tract NOS:
· female
· male
Urethra
Excludes : urethral orifice of bladder
Paraurethral gland
Overlapping lesion of urinary organs
Malignant neoplasm of urinary organs whose
point of origin cannot be classified to any one
of the categories C64-C68.1
Urinary organ, unspecified
Urinary system NOS
N00-N99 Glomerular diseases
N17-N19
.0
.1
Use additional code, if desired, to identify
external cause (Chapter XX) or presence of
renal failure
Excludes : hypertensive renal disease
The following fourth-character subdivisions
classify morphological changes and are for use
with categories N00-N07. Subdivisions .0-.8
should not normally be used unless these have
been specifically identified (e.g. by renal biopsy
or autopsy). The three-character categories
relate to clinical syndromes.
Minor glomerular abnormality
Minimal change lesion
Focal and segmental glomerular lesions
8
.2
.3
.4
.5
.6
.7
.8
N00
N01
Focal and segmental:
· hyalinosis
· sclerosis
Focal glomerulonephritis
Diffuse membranous glomerulonephritis
Diffuse mesangial proliferative
glomerulonephritis
Diffuse endocapillary proliferative
glomerulonephritis
Diffuse mesangiocapillary glomerulonephritis
Membranoproliferative glomerulonephritis,
types 1 and 3, or NOS
Dense deposit disease
Membranoproliferative glomerulonephritis,
type 2
Diffuse crescentic glomerulonephritis
Extracapillary glomerulonephritis
Other
Proliferative glomerulonephritis NOS
Acute nephritic syndrome
Includes : acute:
· glomerular disease
· glomerulonephritis
· nephritis
· renal disease NOS
Excludes : acute infectious tubulo-interstitial
nephritis nephritic syndrome NOS
Rapidly progressive nephritic syndrome
Includes : rapidly progressive:
· glomerular disease
· glomerulonephritis
· nephritis
Excludes : nephritic syndrome NOS
9
N02
N03
N04
N05
N06
Recurrent and persistent haematuria
Includes : haematuria:
· benign (familial)(of childhood)
· with morphological lesion specified
in .0-.8 before N00.Excludes : haematuria NOS
Chronic nephritic syndrome
Includes : chronic:
· glomerular disease
· glomerulonephritis
· nephritis
· renal disease NOS
Excludes : chronic tubulo-interstitial nephritis
diffuse sclerosing
glomerulonephritis nephritic
syndrome NOS
Nephrotic syndrome
Includes : congenital nephrotic syndrome
lipoid nephrosis
Unspecified nephritic syndrome
Includes : glomerular disease
Glomerulonephritis
Nephritis
nephropathy NOS and renal disease
NOS with morphological
lesion specified in .0-.8 before N00.Excludes : nephropathy NOS with no stated
morphological lesion renal disease NOS with
no stated morphological lesion tubulointerstitial nephritis NOS
Isolated proteinuria with specified
morphological lesion
10
N07
N08*
N08.0*
Includes: proteinuria
(isolated)(orthostatic)(persistent) with
morphological lesion specified in .0-.8 before
N00.Excludes : proteinuria:
· NOS ( R80 )
· Bence Jones ( R80 )
· gestational ( O12.1 )
· isolated NOS ( R80 )
· orthostatic NOS ( N39.2 )
· persistent NOS ( N39.1 )
Hereditary nephropathy, not elsewhere
classified
Excludes : Alport’s syndrome (Q87.8)
hereditary amyloid nephropathy
(E85.0) nail patella syndrome
(Q87.2) non-neuropathic
heredofamilial amyloidosis (E85.0)
Glomerular disorders in diseases classified
elsewhere
Includes : nephropathy in diseases classified
elsewhere
Excludes : renal tubulo-interstitial disorders in
diseases classified elsewhere
Glomerular disorders in infectious and parasitic
diseases classified elsewhere
Glomerular disorders in:
· Plasmodium malariae malaria
(B52.0+)
· mumps ( B26.8+ )
· schistosomiasis [bilharziasis]
(B65.-+)
· septicaemia (A40-A41+)
11
N08.1*
N08.2*
N08.3*
N08.4*
N08.5*
· strongyloidiasis (B78.-+)
· syphilis (A52.7+)
Glomerular disorders in neoplastic diseases
Glomerular disorders in
multiple myeloma (C90.0+)
· Waldenström’s macroglobulinaemia
(C88.0+)
Glomerular disorders in blood diseases and
disorders involving the immune mechanism
Glomerular disorders in:
· cryoglobulinaemia (D89.1+)
· disseminated intravascular
coagulation [defibrination
syndrome] (D65+ )
· haemolytic-uraemic syndrome
(D59.3+ )
· Henoch(-Schönlein) purpura
(D69.0+)
· sickle-cell disorders (D57.-+)
Glomerular disorders in diabetes mellitus
(E10-E14+ with common fourth character .2)
Glomerular disorders in other endocrine,
nutritional and metabolic diseases
Glomerular disorders in:
· amyloidosis (E85.-+)
· Fabry(-Anderson) disease (E75.2+)
· lecithin cholesterol acyltransferase
deficiency (E78.6+)
Glomerular disorders in systemic connective
tissue disorders
Glomerular disorders in:
· Goodpasture’s syndrome (M31.0+)
· microscopic polyangiitis (M31.7+)
12
N08.8*
· systemic lupus erythematosus
(M32.1+ )
· thrombotic thrombocytopenic
purpura (M31.1+)
· Wegener’s granulomatosis (M31.3+)
Glomerular disorders in other diseases
classified elsewhere
Glomerular disorders in subacute bacterial
endocarditis ( I33.0+ )
N10-N16 Renal tubulo-interstitial diseases
Includes : pyelonephritis
Excludes : pyeloureteritis cystic
N10
Acute tubulo-interstitial nephritis
Acute:
· infectious interstitial nephritis
· pyelitis
· pyelonephritis
N11
Chronic tubulo-interstitial nephritis
Includes : chronic:
· infectious interstitial nephritis
· pyelitis
· pyelonephritis
N11.0
Nonobstructive reflux-associated chronic
pyelonephritis
Pyelonephritis (chronic) associated with
(vesicoureteral) reflux
Excludes : vesicoureteral reflux NOS ( N13.7 )
N11.1
Chronic obstructive pyelonephritis
Pyelonephritis (chronic) associated with:
· anomaly
} of
{ pelviureteric junction
13
· kinking
}
pyeloureteric junction
· obstruction }
{ ureter
· stricture
Excludes : calculous pyelonephritis (N20.9)
obstructive uropathy (N13.-)
N11.8
Other chronic tubulo-interstitial nephritis
Nonobstructive chronic pyelonephritis NOS
N11.9
Chronic tubulo-interstitial nephritis,
unspecified
Chronic :
· interstitial nephritis NOS
· pyelitis NOS
· pyelonephritis NOS
N13
Obstructive and reflux uropathy
Excludes: calculus of kidney and ureter without
hydronephrosis (N20.-) congenital obstructive
defects of renal pelvis and ureter (Q62.0-Q62.3)
obstructive pyelonephritis ( N11.1 )
N13.0
Hydronephrosis with ureteropelvic junction
obstruction
Excludes : with infection ( N13.6 )
N13.1
Hydronephrosis with ureteral stricture, not
elsewhere classified
Excludes : with infection ( N13.6 )
N13.2
Hydronephrosis with renal and ureteral
calculous obstruction
Excludes : with infection ( N13.6 )
N13.3
Other and unspecified hydronephrosis
Excludes : with infection ( N13.6 )
N13.4
Hydroureter
Excludes : with infection ( N13.6 )
N13.5
Kinking and stricture of ureter without
hydronephrosis
14
N13.6
N13.7
N13.8
N13.9
N14
N14.0
N14.1
N14.2
N14.3
N14.4
N15
N15.0
N15.1
N15.8
N15.9
N16*
Excludes : with infection ( N13.6 )
Pyonephrosis
Conditions in N13.0-N13.5 with infection
Obstructive uropathy with infection
Vesicoureteral-reflux-associated uropathy
Vesicoureteral reflux:
· NOS
· with scarring
Excludes : reflux-associated pyelonephritis
(N11.0)
Other obstructive and reflux uropathy
Obstructive and reflux uropathy, unspecified
Urinary tract obstruction NOS
Drug- and heavy-metal-induced tubulointerstitial and tubular conditions
Analgesic nephropathy
Nephropathy induced by other drugs,
medicaments and biological substances
Nephropathy induced by unspecified drug,
medicament or biological substance
Nephropathy induced by heavy metals
Toxic nephropathy, not elsewhere classified
Other renal tubulo-interstitial diseases
Balkan nephropathy
Balkan endemic nephropathy
Renal and perinephric abscess
Other specified renal tubulo-interstitial
diseases
Renal tubulo-interstitial disease, unspecified
Infection of kidney NOS
Excludes : urinary tract infection NOS ( N39.0 )
Renal tubulo-interstitial disorders in diseases
classified elsewhere
15
N16.0*
N16.1*
N16.2*
N16.3*
N16.4*
N16.5*
Renal tubulo-interstitial disorders in infectious
and parasitic diseases classified elsewhere
Renal tubulo-interstitial disorders (due to)(in):
· brucellosis
· diphtheria
· salmonella infection
· septicaemia
· toxoplasmosis
Renal tubulo-interstitial disorders in neoplastic
diseases
Renal tubulo-interstitial disorders in:
· leukaemia
· lymphoma
· multiple myeloma
Renal tubulo-interstitial disorders in blood
diseases and disorders involving the immune
mechanism
Renal tubulo-interstitial disorders in:
· mixed cryoglobulinaemia
· sarcoidosis
Renal tubulo-interstitial disorders in metabolic
diseases
Renal tubulo-interstitial disorders in:
· cystinosis
· glycogen storage disease
· Wilson’s disease
Renal tubulo-interstitial disorders in systemic
connective tissue disorders
Renal tubulo-interstitial disorders in:
· sicca syndrome [Sjögren]
· systemic lupus erythematosus
Renal tubulo-interstitial disorders in transplant
rejection
16
N16.8*
Renal tubulo-interstitial disorders in other
diseases classified elsewhere
N17-N19 Renal failure
Excludes:
N17
N17.0
N17.1
N17.2
congenital renal failure
drug- and heavy-metal-induced tubulointerstitial and tubular conditions
extrarenal uraemia
haemolytic-uraemic syndrome
hepatorenal syndrome
· postpartum
prerenal uraemia renal failure:
· complicating abortion or ectopic or
molar pregnancy
· following labour and delivery
· postprocedural
Acute renal failure
Includes : acute renal impairment
Acute renal failure with tubular necrosis
Tubular necrosis:
· NOS
· acute
· renal
Acute renal failure with acute cortical necrosis
Cortical necrosis:
· NOS
· acute
· renal
Acute renal failure with medullary necrosis
Medullary [papillary] necrosis:
· NOS
· acute
17
N17.8
N17.9
N18
N18.0
N18.8
N18.9
N19
· renal
Other acute renal failure
Acute renal failure, unspecified
Chronic renal failure
Includes : chronic uraemia
diffuse sclerosing
glomerulonephritis
Excludes : chronic renal failure with
hypertension
End-stage renal disease
Other chronic renal failure
Uraemic:
· neuropathy+
· pericarditis+
Chronic renal failure, unspecified
Unspecified renal failure
Uraemia NOS
Excludes : renal failure with hypertension
uraemia of newborn
N20-N23 Urolithiasis
N20
N20.0
N20.1
N20.2
N20.9
Calculus of kidney and ureter
Excludes : with hydronephrosis
Calculus of kidney
Nephrolithiasis NOS
Renal calculus or stone
Staghorn calculus
Stone in kidney
Calculus of ureter
Ureteric stone
Calculus of kidney with calculus of ureter
Urinary calculus, unspecified
18
N21
N21.0
N21.1
N21.8
N21.9
N22*
N22.0*
N22.8*
N23
Calculous pyelonephritis
Calculus of lower urinary tract
Includes : with cystitis and urethritis
Calculus in bladder
Calculus in diverticulum of bladder
Urinary bladder stone
Excludes : staghorn calculus
Calculus in urethra
Other lower urinary tract calculus
Calculus of lower urinary tract, unspecified
Calculus of urinary tract in diseases classified
elsewhere
Urinary calculus in schistosomiasis
[bilharziasis]
Calculus of urinary tract in other diseases
classified elsewhere
Unspecified renal colic
N25-N29 Other disorders of the kidney and ureter
Excludes:
N25
N25.0
N25.1
with Urolithiasis
Disorders resulting from impaired renal tubular
function
Excludes : metabolic disorders classifiable to
E70-E90
Renal osteodystrophy
Azotaemic osteodystrophy
Phosphate-losing tubular disorders
Renal:
· rickets
·short stature
Nephrogenic diabetes insipidus
19
N25.8
N25.9
N26
N27
N27.0
N27.1
N27.9
N28
N28.0
Other disorders resulting from impaired renal
tubular function
Lightwood-Albright syndrome
Renal tubular acidosis NOS
Secondary hyperparathyroidism of renal origin
Disorder resulting from impaired renal tubular
function, unspecified
Unspecified contracted kidney
Atrophy of kidney (terminal)
Renal sclerosis NOS
Excludes : contracted kidney with
hypertension
diffuse sclerosing
glomerulonephritis hypertensive
nephrosclerosis
(arteriolar)(arteriosclerotic) small
kidney of unknown cause
Small kidney of unknown cause
Small kidney, unilateral
Small kidney, bilateral
Small kidney, unspecified
Other disorders of kidney and ureter, not
elsewhere classified
Excludes : hydroureter
renal disease:
· acute NOS
· chronic NOS
ureteric kinking and stricture:
· with hydronephrosis
· without hydronephrosis
Ischaemia and infarction of kidney
Renal artery:
20
N28.1
N28.8
N28.9
N29*
N29.0*
N29.1*
· embolism
· obstruction
· occlusion
· thrombosis
Renal infarct
Excludes : Goldblatt’s kidney
renal artery (extrarenal part):
· atherosclerosis
· congenital stenosis
Cyst of kidney, acquired
Cyst (multiple)(solitary) of kidney, acquired
Excludes : cystic kidney disease (congenital)
Other specified disorders of kidney and ureter
Hypertrophy of kidney
Megaloureter
Pyelitis
Pyeloureteritis
Ureteritis
Ureterocele
Disorder of kidney and ureter, unspecified
Nephropathy NOS
Renal disease NOS
Excludes : nephropathy NOS and renal disease
NOS with morphological lesion
specified in .0-.8 before N00.
Other disorders of kidney and ureter in
diseases classified elsewhere
Late syphilis of kidney
Other disorders of kidney and ureter in
infectious and parasitic diseases classified
elsewhere
Disorders of kidney and ureter in:
21
· schistosomiasis [bilharziasis
· tuberculosis
N30-N39 Other diseases of the urinary system
N30
N30.0
N30.1
N30.2
N30.3
N30.4
N30.8
N30.9
N31
Excludes : urinary infection (complicating)
· abortion or ectopic or molar
pregnancy
· pregnancy, childbirth and the
puerperium
· with Urolithiasis
Cystitis
Excludes: prostatocystitis
Acute cystitis
Excludes : irradiation cystitis
Trigonitis
Interstitial cystitis (chronic)
Other chronic cystitis
Trigonitis
Urethrotrigonitis
Irradiation cystitis
Other cystitis
Abscess of bladder
Cystitis, unspecified
Neuromuscular dysfunction of bladder, not
elsewhere classified
Excludes : cord bladder NOS
due to spinal cord lesion
neurogenic bladder due to cauda
equina syndrome (G83.4)
urinary incontinence:
· NOS
· specified
22
N31.0
N31.1
N31.2
N31.8
N31.9
N32
N32.0
N32.1
N32.2
N32.3
N32.4
N32.8
Uninhibited neuropathic bladder, not
elsewhere classified
Reflex neuropathic bladder, not elsewhere
classified
Flaccid neuropathic bladder, not elsewhere
classified
Neuropathic bladder:
· atonic (motor)(sensory)
· autonomous
· nonreflex
Other neuromuscular dysfunction of bladder
Neuromuscular dysfunction of bladder,
unspecified
Neurogenic bladder dysfunction NOS
Other disorders of bladder
Excludes : calculus in bladder Cystocele
hernia or prolapse of bladder,
female
Bladder-neck obstruction
Bladder-neck stenosis (acquired)
Vesicointestinal fistula
Vesicorectal fistula
Vesical fistula, not elsewhere classified
Excludes : fistula between bladder and female
genital tract
Diverticulum of bladder
Diverticulitis of bladder
Excludes : calculus in diverticulum of bladder
Rupture of bladder, nontraumatic
Other specified disorders of bladder
Bladder :
· calcified
· contracted
23
N32.9
N33*
N33.0*
N33.8*
N34
N34.0
N34.1
N34.2
N34.3
N35
Bladder disorder, unspecified
Bladder disorders in diseases classified
elsewhere
Tuberculous cystitis
Bladder disorders in other diseases classified
elsewhere
Bladder disorder in schistosomiasis
[bilharziasis]
Urethritis and urethral syndrome
Excludes : Reiter’s disease urethritis in
diseases with a predominantly
sexual mode of transmission
urethrotrigonitis
Urethral abscess
Abscess (of):
· Cowper’s gland
· Littré’s gland
· periurethral
· urethral (gland)
Excludes : urethral caruncle
Nonspecific urethritis
Urethritis:
· nongonococcal
· nonvenereal
Other urethritis
Meatitis, urethral
Ulcer of urethra (meatus)
Urethritis:
· NOS
· postmenopausal
Urethral syndrome, unspecified
Urethral stricture
Excludes : postprocedural urethral stricture
24
N35.0
N35.1
N35.8
N35.9
N36
N36.0
N36.1
N36.2
N36.3
N36.8
N36.9
N37*
N37.0*
N37.8*
Post-traumatic urethral stricture
Stricture of urethra as a sequela of:
· childbirth
· injury
Postinfective urethral stricture, not elsewhere
classified
Other urethral stricture
Urethral stricture, unspecified
Pinhole meatus NOS
Other disorders of urethra
Urethral fistula
False urethral passage
Fistula:
· urethroperineal
· urethrorectal
· urinary NOS
Excludes : fistula:
· urethroscrotal
· urethrovaginal
Urethral diverticulum
Urethral caruncle
Prolapsed urethral mucosa
Prolapse of urethra
Urethrocele, male
Excludes : urethrocele, female
Other specified disorders of urethra
Urethral disorder, unspecified
Urethral disorders in diseases classified
elsewhere
Urethritis in diseases classified elsewhere
Candidal urethritis
Other urethral disorders in diseases classified
elsewhere
25
N39
N39.0
N39.1
N39.2
N39.3
N39.4
N39.8
N39.9
Other disorders of urinary system
Excludes : haematuria:
· NOS
· recurrent and persistent
· with specified morphological
proteinuria NOS
Urinary tract infection, site not specified
Use additional code (B95-B97), if desired, to
identify infectious agent.
Persistent proteinuria, unspecified
Excludes: complicating pregnancy, childbirth
and the puerperium with specified
morphological lesion
Orthostatic proteinuria, unspecified
Excludes : with specified morphological lesion
Stress incontinence
Use additional code (N32.8), if desired, to
identify overactive bladder or detrusor muscle
hyperactivity.
Other specified urinary incontinence
Overflow
} incontinence
Reflex
}
Urge
}
Excludes : enuresis NOS
urinary incontinence (of):
· NOS
· nonorganic origin
Other specified disorders of urinary system
Disorder of urinary system, unspecified
N40-N51 Diseases of the male genital organs
26
N40 Hyperplasia of prostate
Adenofibromatous hypertrophy } of Prostate
Adenoma (benign)
}
Enlargement (benign)
}
Fibroadenoma
}
Fibroma
}
Hypertrophy (benign)
}
Myoma
}
Median bar (prostate)
Prostatic obstruction NOS
Excludes : benign neoplasms, except
adenoma, fibroma and myoma of prostate
N41
N41.0
N41.1
N41.2
N41.3
N41.8
N41.9
N42
N42.0
N42.1
N42.2
N42.8
N42.9
N43
N43.0
Inflammatory diseases of prostate
Acute prostatitis
Chronic prostatitis
Abscess of prostate
Prostatocystitis
Other inflammatory diseases of prostate
Inflammatory disease of prostate, unspecified
Prostatitis NOS
Other disorders of prostate
Calculus of prostate
Prostatic stone
Congestion and haemorrhage of prostate
Atrophy of prostate
Other specified disorders of prostate
Disorder of prostate, unspecified
Hydrocele and spermatocele
Includes: hydrocele of spermatic cord, testis or
tunica vaginalis
Excludes : congenital hydrocele
Encysted hydrocele
27
N43.1
N43.2
N43.3
N43.4
N44
N45
N45.0
N45.9
N46
N47
N48
N48.0
N48.1
N48.2
Infected hydrocele
Other hydrocele
Hydrocele, unspecified
Spermatocele
Torsion of testis
Torsion of:
· Epididymis
· spermatic cord
· testicle
Orchitis and epididymitis
Orchitis, epididymitis and epididymo-orchitis
with abscess
Orchitis, epididymitis and epididymo-orchitis
without abscess
Epididymitis NOS
Orchitis NOS
Male infertility
Azoospermia NOS
Oligospermia NOS
Redundant prepuce, phimosis and
paraphimosis
Adherent prepuce
Tight foreskin
Other disorders of penis
Leukoplakia of penis
Balanitis xerotica obliterans
Kraurosis of penis
Excludes : carcinoma in situ of penis
Balanoposthitis
Balanitis
Other inflammatory disorders of penis
Abscess } of corpus cavernosum and penis
Boil
}
28
N48.3
N48.4
N48.5
N48.6
N48.8
N48.9
N49
N49.0
N49.1
N49.2
N49.8
N49.9
Carbuncle }
Cellulitis }
Cavernitis (penis)
Priapism
Painful erection
Impotence of organic origin
Excludes : psychogenic impotence
Ulcer of penis
Induratio penis plastic
Peyronie’s disease
Plastic induration of penis
Other specified disorders of penis
Atrophy
} of corpus cavernosum and penis
Hypertrophy }
Thrombosis }
Disorder of penis, unspecified
Inflammatory disorders of male genital organs,
not elsewhere classified
Excludes : inflammation of penis
orchitis and epididymitis
Inflammatory disorders of seminal vesicle
Vesiculitis NOS
Inflammatory disorders of spermatic cord,
tunica vaginalis and vas deferens Vasitis
Inflammatory disorders of scrotum
Inflammatory disorders of other specified male
genital organs
Inflammation of multiple sites in male genital
organs
Inflammatory disorder of unspecified male
genital organ
Abscess } of unspecified male genital organ
Boil
}
29
N50
N50.0
N50.1
N50.8
N50.9
N51*
N51.0*
Carbuncle }
Cellulitis }
Other disorders of male genital organs
Excludes : torsion of testis
Atrophy of testis
Vascular disorders of male genital organs
Haematocele } of male genital organs
NOS
}
Haemorrhage }
Haemorrhage
Other specified disorders of male genital
organs
Atrophy
} of scrotum, seminal vesicle,
spermatic cord, testis [except
Hypertrophy
} atrophy], tunica vaginalis
and vas deferens
Oedema
}
Ulcer
}
Chylocele, tunica vaginalis (nonfilarial) NOS
Fistula, urethroscrotal
Stricture of:
· spermatic cord
· tunica vaginalis
· vas deferens
Disorder of male genital organs, unspecified
Disorders of male genital organs in diseases
classified elsewhere
Disorders of prostate in diseases classified
elsewhere
Prostatitis:
· gonococcal
· trichomonal
· tuberculous
30
N51.1*
N51.2*
N51.8*
Disorders of testis and epididymis in diseases
classified elsewhere
Chlamydial:
· epididymitis
· orchitis
Gonococcal:
· epididymitis
· orchitis
Mumps orchitis
Tuberculosis of:
· Epididymis
· testis
Balanitis in diseases classified elsewhere
Balanitis:
· amoebic
· candidal
Other disorders of male genital organs in
diseases classified elsewhere
Filarial chylocele, tunica vaginalis
Herpesviral [herpes simplex] infection of male
genital tract
Tuberculosis of seminal vesicle
N80-N98 Non-inflammatory disorders of the
female genital tract
N81
N81.0
Female genital prolapsed
Excludes : genital prolapse complicating
pregnancy, labour or delivery
prolapse and hernia of ovary and
fallopian tube prolapse of vaginal
vault after hysterectomy
Female urethrocele
31
N81.1
N81.2
N81.3
N81.4
N81.5
N81.6
N81.8
N81.9
N82
N82.0
N82.1
Excludes : urethrocele with:
· cystocele
· prolapse of uterus
Cystocele
Cystocele with urethrocele
Prolapse of (anterior) vaginal (wall) NOS
Excludes : cystocele with prolapse of uterus
Incomplete uterovaginal prolapsed
Prolapse of cervix NOS
Uterine prolapse:
· first degree
· second degree
Complete uterovaginal prolapsed
Procidentia (uteri) NOS
Third degree uterine prolapsed
Uterovaginal prolapse, unspecified
Prolapse of uterus NOS
Vaginal enterocele
Excludes : enterocele with prolapse of uterus
Rectocele
Prolapse of posterior vaginal wall
Excludes : rectal prolapsed rectocele with
prolapse of uterus
Other female genital prolapsed
Deficient perineum
Old laceration of muscles of pelvic floor
Female genital prolapse, unspecified
Fistulae involving female genital tract
Excludes : vesicointestinal fistulae
Vesicovaginal fistula
Other female urinary-genital tract fistulae
Fistula:
· cervicovesical
32
N82.2
N82.3
N82.4
N82.5
N82.8
N82.9
· ureterovaginal
· urethrovaginal
· uteroureteric
· uterovesical
Fistula of vagina to small intestine
Fistula of vagina to large intestine
Rectovaginal fistula
Other female intestinal-genital tract fistulae
Intestinouterine fistula
Female genital tract-skin fistulae
Fistula:
· uterus to abdominal wall
· vaginoperineal
Other female genital tract fistulae
Female genital tract fistula, unspecified
N99
Other disorders of the Genitourinary
Tract
N99
Postprocedural disorders of genitourinary
system, not elsewhere classified
Excludes : irradiation cystitis
Postoophorectomy
· with pathological fracture
states associated with artificial
menopause
Postprocedural renal failure
Postprocedural urethral stricture
Postcatheterization urethral stricture
Postprocedural pelvic peritoneal adhesions
Malfunction of external stoma of urinary tract
Postprocedural disorder of genitourinary
system, unspecified
N99.0
N99.1
N99.4
N99.5
N99.9
33
Philhealth Computation
34
35
Tertiary Hospital
Diplomate / Fellow
Surgeon
RVU x PCF 80 = PF4
For RVU 501and above
Surgeon
RVU x PCF 56 = PF3
Surgeon
RVU x PCF 48 = PF2
With Traning
2nd Tier
(Group 5 & 6)
Diplomate / Fellow
3rd Tier
(Group 2, 3 & 4)
Surgeon
RVU x PCF 40 = PF1
Maximum of P3200
General Practioner
1st Tier (Group 1)
Anesthesiologist
56% of surgeon fee (PF1)
Anesthesiologist
48% of surgeon fee (PF1)
Anesthesiologist
40% of surgeon fee (PF1)
Maximum of P1280
36
RVU
37
URINARY SYSTEM
KIDNEY
Incision
50010 Renal exploration, not necessitating
other specific procedures
50020 Drainage of perirenal or renal abscess
50040 Nephrostomy, nephrotomy w/ drainage
50045 Nephrotomy, w/ exploration
50060 Nephrolithotomy; removal of calculus
50065 secondary surgical operation for calculus
50070 complicated by congenital kidne
abnormality
50075 removal of large staghorn calculus
filling renal pelvis and calyces
(including anatrophic pyelolithotomy)
50080 Percutaneous nephrostolithotomy or
pyelostolithotomy, w/ or w/o dilation,
endoscopy, lithotripsy, stenting, or
basket extraction; up to 2 cm
58081 over 2 cm
50100 Transection or repositioning of
aberrant renal vessels
50120 Pyelotomy; w/ exploration
50125 w/ drainage, pyelostomy
50130 w/ removal of calculus (pyelolithotomy,
pelviolithotomy, including coagulum
pyelolithotomy)
50135 complicated (eg, secondary operation,
congenital kidney abnormality)
38
120
100
100
100
150
170
180 x
200 x
180
200
250 x
180
200
200 x
220 x
200
100
100
120
150 x
130
170 x
Excision
50200 Renal biopsy; percutaneous, by trocar
or needle
50205 by surgical exposure of kidney
50220 Nephrectomy, including partial
ureterectomy, any approach including
rib resection;
50225 Nephrectomy, complicated because
of previous surgery on same kidney
50230 radical, w/ regional lymphadenectomy
and/or vena caval thrombectomy
50234 Nephrectomy w/ total ureterectomy
and bladder cuff; through same incision
50236 through separate incision
50240 Nephrectomy, partial
50280 Excision or unroofing of cyst(s) of kidney
50290 Excision of perinephric cyst
10
30
150
180 x
150
200 x
180
225 x
200
200
150
100
100
240
300
180
120
120
150
180 x
x
x
x
x
x
Renal Transplantation
50320
50360
50365
50370
50380
Donor nephrectomy, w/ preparation
and maintenance of allograft; from
living donor
Renal allotransplantation, implantation
of graft; excluding donor and recipient
nephrectomy
w/ recipient nephrectomy
Removal of transplanted renal allograft
Renal autotransplantation,
reimplantation of kidney
39
250
400
150
200
Introduction
50390
50391
Aspiration and/or injection of renal
cyst or pelvis by needle, percutaneous
NEPHROSTOMY, percutaneous
ultrasound guided or fluoroscopy
guided
Repair
50400 Pyeloplasty (Foley Y-pyeloplasty),
plastic operation on renal pelvis, w/
or w/o plastic operation on ureter,
nephropexy, nephrostomy, pyelostomy,
or ureteral splinting; simple
50405 complicated (congenital kidney
bnormality, secondary pyeloplasty,
solitary kidney, calycoplasty)
50500 Nephrorrhaphy, suture of kidney
wound or injury
50520 Closure of nephrocutaneous or
pyelocutaneous fistula
50525 Closure of nephrovisceral fistula
(eg, renocolic), including visceral repair;
abdominal approach
50526 thoracic approach
50540 Symphysiotomy for horseshoe kidney
w/ or w/o pyeloplasty and/or other
plastic procedure, unilateral or bilateral
(one operation)
40
20
100 x
180
220 x
200
240 x
150
100
150
200
200
Endoscopy
50551
50553
50555
50557
50559
50561
50570
50572
50574
50575
50576
50578
50580
Renal endoscopy through established
nephrostomy or pyelostomy, w/ or w/o
irrigation, instillation, or
ureteropyelography, exclusive of
radiologic service;
w/ ureteral catheterization, w/ or w/o
dilation of ureter
w/ biopsy
w/ fulguration and/or incision, w/
or w/o biopsy
w/ insertion of radioactive substance
w/ or w/o biopsy and/or fulguration
w/ removal of foreign body or calculus
Renal endoscopy through nephrotomy
or pyelotomy, w/ or w/o irrigation,
instillation, or ureteropyelography,
exclusive of radiologic service;
w/ ureteral catheterization, w/ or
w/o dilation of ureter
w/ biopsy
w/ endopyelotomy (includes
cystoscopy, ureteroscopy, dilation
of ureter and ureteral pelvic junction,
incision of ureteral pelvic junction
and insertion of endopyelotomy stent)
w/ fulguration and/or incision, w/
or w/o biopsy
w/ insertion of radioactive substance,
w/ or w/o biopsy and/or fulguration
w/ removal of foreign body or calculus
41
38
40
45
31
34
50
40
40
40
50
50
50
50
Other Procedures
50590
Lithotripsy, extracorporeal shock wave
URETER
Incision
50600 Ureterotomy w/ exploration or drainage
50605 Ureterotomy for insertion of
indwelling stent, all types
50610 Ureterolithotomy; upper one-third of ureter
50620 middle one-third of ureter
50630 lower one-third of ureter
Excision
50650 Ureterectomy, w/ bladder cuff
50660 Ureterectomy, total, ectopic ureter,
combination abdominal, vaginal
and/or perineal approach
Repair
50700 Ureteroplasty, plastic operation on
ureter (eg, stricture)
50715 Ureterolysis, w/ or w/o repositioning
of ureter for retroperitoneal fibrosis
50722 Ureterolysis for ovarian vein syndrome
50725 Ureterolysis for retrocaval ureter,
w/ reanastomosis of upper urinary
tract or vena cava
50727 Revision of urinary-cutaneous
anastomosis (any type urostomy);
42
100
125 x
80
80
110
100
110
130 x
120 x
130 x
120
144 x
120
120
144 x
120
120
144 x
150
140
50728
50740
50750
50760
50770
50780
50782
50783
50785
50800
50810
50815
50820
50825
50830
w/ repair of fascial defect and hernia
Ureteropyelostomy, anastomosis of
ureter and renal pelvis
Ureterocalycostomy, anastomosis
of ureter to renal calyx
Ureteroureterostomy
Transureteroureterostomy, anastomosis
of ureter to contralateral ureter
Ureteroneocystostomy; anastomosis
of single ureter to bladder
anastomosis of duplicated ureter
to bladder
w/ extensive ureteral tailoring
w/ vesico-psoas hitch or bladder flap
Ureteroenterostomy, direct anastomosis
of ureter to intestine
Ureterosigmoidostomy, w/ creation of
sigmoid bladder and establishment
of abdominal or perineal colostomy,
including bowel anastomosis
Ureterocolon conduit, including
bowel anastomosis
Ureteroileal conduit (ileal bladder),
including bowel anastomosis
(Bricker operation)
Continent diversion, including bowel
anastomosis using any segment of
small and/or large bowel
(Kock pouch or Camey enterocystoplasty
Urinary undiversion (eg, taking
down of ureteroileal conduit,
43
140
150
180
120
144 x
180
150
200
250
200
160
250
250
280
300
180 x
50840
50845
50860
50900
50920
50930
50940
ureterosigmoidostomy or
ureteroenterostomy w/
ureteroureterostomy or
ureteroneocystostomy)
Replacement of all or part of ureter
by bowel segment, including bowel
anastomosis
Cutaneous appendico-vesicostomy
Ureterostomy, transplantation of
ureter to skin
Ureterorrhaphy, suture of ureter
Closure of ureterocutaneous fistula
Closure of ureterovisceral fistula
(including visceral repair)
Deligation of ureter
250
250
200
120
100
120
150
120
Endoscopy
50951
50953
50955
50957
50959
Ureteral endoscopy through
established ureterostomy, w/ or
w/o irrigation, instillation, or
ureteropyelography, exclusive of
radiologic service;
w/ ureteral catheterization, w/ or
w/o dilation of ureter
w/ biopsy
w/ fulguration and/or incision,
w/ or w/o biopsy
w/ insertion of radioactive substance,
w/ or w/o biopsy and/or fulguration
(not including provision of material)
44
40
40
40
45
50
144 x
50961
50970
50972
50974
50976
50978
50980
w/ removal of foreign body or calculus
Ureteral endoscopy through
ureterotomy, w/ or w/o irrigation,
instillation, or ureteropyelography,
exclusive of radiologic service;
w/ ureteral catheterization, w/ or w/o
dilation of ureter
w/ biopsy
w/ fulguration and/or incision,
w/ or w/o biopsy
w/ insertion of radioactive substance,
w/ or w/o biopsy and/or fulguration
(not including provision of material)
w/ removal of foreign body or calculus
BLADDER
Incision
51010 Aspiration of bladder; by trocar or
intracatheter w/ insertion of
suprapubic catheter
51020 Cystotomy or cystostomy; w/
fulguration and/or insertion of
radioactive material
51030 w/ cryosurgical destruction of
intravesical lesion
51040 Cystostomy, cystotomy w/ drainage
51045 Cystotomy, w/ insertion of ureteral
catheter or stent
51050 Cystolithotomy, cystotomy w/ removal
of calculus, w/o vesical neck resection
51060 Transvesical ureterolithotomy
45
70
40
40
40
45
50
70
20
50
50
50
40
x
60
70
110
85 x
130 x
51065
51080
Cystotomy, w/ stone basket extraction
and/or ultrasonic, electrohydraulic
and laser fragmentation of ureteral
calculus
Drainage of perivesical or prevesical
space abscess
Excision
51500 Excision of urachal cyst or sinus,
w/ or w/o umbilical hernia repair
51520 Cystotomy; for simple excision of
vesical neck
51525 for excision of bladder diverticulum,
single or multiple
51530 for excision of bladder tumor
51535 Cystotomy for excision, incision,
or repair of ureterocele
51550 Cystectomy, partial
51555 complicated (eg, postradiation,
previous surgery, difficult location)
51565 Cystectomy, partial, w/
reimplantation of ureter(s) into
bladder (ureteroneocystostomy)
51570 Cystectomy, complete;
51575 w/ bilateral pelvic lymphadenectomy,
including external iliac, hypogastric,
and obturator nodes
51580 Cystectomy, complete, w/
ureterosigmoidostomy or
ureterocutaneous transplantations;
51585 w/ bilateral pelvic lymphadenectomy,
46
100
60
120
120
180
180
150
160
250
200
250
300
260
130 x
51590
51595
51596
51597
including external iliac, hypogastric,
and obturator nodes
Cystectomy, complete, w/ ureteroileal
conduit or sigmoid bladder, including
bowel anastomosis;
w/ bilateral pelvic lymphadenectomy,
including external iliac, hypogastric,
and obturator nodes
Cystectomy, complete, w/ continent
diversion, any technique, using any
segment of small and/or large bowel
to construct neobladder
Pelvic exenteration, complete, for
vesical, prostatic or urethral malignancy,
w/ removal of bladder and ureteral
transplantations, w/ or w/o hysterectomy
and/or abdominoperineal resection of
rectum and colon and colostomy, or
any combination thereof
Repair
51800 Cystoplasty or cystourethroplasty,
plastic operation on bladder and/or
vesical neck (anterior Y-plasty, vesical
fundus resection), any procedure,
w/ or w/o wedge resection of posterior
vesical neck
51820 Cystourethroplasty w/ unilateral
or bilateral ureteroneocystostomy
51840 Anterior vesicourethropexy, or
urethropexy
47
350
380
410
450
600
120
180
51841
51845
51860
51880
51900
51920
51925
51940
51960
51980
(Marshall-Marchetti-Krantz type)
complicated (eg, secondary repair)
Abdomino-vaginal vesical neck
suspension, w/ or w/o endoscopic control
(eg, Stamey, Raz, modified Pereyra)
Cystorrhaphy, suture of bladder
wound, injury or rupture
Closure of cystostomy
Closure of vesicovaginal fistula,
abdominal approach
Closure of vesicouterine fistula;
w/ hysterectomy
Closure of bladder exstrophy
Enterocystoplasty, including
bowel anastomosis
Cutaneous vesicostomy
120
160
120
80
45
150
150
200
140
160
80
Endoscopy - Cystoscopy, Urethroscopy, Cystourethroscopy
52000
52005
52007
52010
Cystourethroscopy
Cystourethroscopy, w/ ureteral
catheterization, w/ or w/o irrigation,
instillation, or ureteropyelography,
exclusive of radiologic service;
w/ brush biopsy of ureter and/or
renal pelvis
Cystourethroscopy, w/ ejaculatory
duct catheterization, w/ or w/o irrigation,
instillation, or duct radiography,
exclusive of radiologic service
48
30
40
x
40
50
x
40
40
TRANSURETHRAL SURGERY
Urethra and Bladder
52204
52214
52224
52234
52235
52240
52250
52260
52265
52270
52275
52276
Cystourethroscopy, w/ biopsy
Cystourethroscopy, w/ fulguration
(including cryosurgery or laser surgery)
of trigone, bladder neck, prostatic
fossa, urethra, or periurethral glands
Cystourethroscopy, w/ fulguration
(including cryosurgery or laser surgery)
or treatment of MINOR
(less than 0.5 cm) lesion(s) w/ or
w/o biopsy
Cystrourethroscopy, w/ fulguration
(including cryosurgery or laser
surgery) and/or resection of; SMALL
bladder tumor(s) (0.5 cm to 2.0 cm)
MEDIUM bladder tumor(s) (2.0 to 5.0 cm)
LARGE bladder tumor(s)
Cystourethroscopy w/ insertionof
radioactive substance, w/ or w/o
biopsy or fulguration
Cystourethroscopy, w/ dilation of
bladder for insterstitial cystitis;
general or conduction (spinal) anesthesia
local anesthesia
Cystourethroscopy, w/ internal
urethrotomy; female
male
Cystourethroscopy w/ direct vision
internal urethrotomy
49
55
65
x
60
70
x
60
70
x
100
110
130
120 x
135 x
160 x
160
70
30
60
60
75
75
x
x
70
85
x
52277
52281
52283
52285
52290
52300
52301
52305
52310
52317
Cystourethroscopy, w/ resection of
external sphincter (sphincterotomy)
Cystourethroscopy, w/ calibration
and/or dilation of urethral stricture or
stenosis, w/ or w/o meatotomy and
injection procedure for cystography,
male or female
Cystourethroscopy, w/ steroid injection
into stricture
Cystourethroscopy, for treatment of
the female urethral syndrome w/ any
or all of the following: urethral
meatotomy, urethral dilation, internal
urethrotomy, lysis of urethrovaginal
septal fibrosis, lateral incisions of the
bladder neck, and fulguration of
polyp(s) of urethra, bladder neck,
and/or trigone
Cystourethroscopy; w/ ureteral
meatotomy, unilateral or bilateral
w/ resection or fulguration of
orthotopic ureterocele(s), unilateral
or bilateral
w/ resection or fulguration of ectopic
ureterocele(s), unilateral or bilateral
w/ incision or resection of orifice
of bladder diverticulum, single or multiple
Cystourethroscopy, w/ removal
of foreign body, calculus, or
URETERAL STENT from urethra
or bladder
Litholapaxy: crushing or fragmentation
50
80
30
30
60
70
110
110
80
50
60
x
52318
of calculus by any means in bladder
and removal of fragments; simple
or small (less than 2.5 cm)
complicated or large (over 2.5 cm)
90
100
110 x
120 x
60
70
75
50
100 x
Ureter and Pelvis
52320
52325
52327
52330
52332
52334
52335
52336
52337
Cystourethroscopy (including
ureteral catheterization); w/ removal
of ureteral calculus
w/ fragmentation of ureteral
calculus (eg, ultrasonic or
electro-hydraulic, laser technique)
w/ subureteric injection of implant material
w/ manipulation, w/o removal of
ureteral calculus
Cystourethroscopy, w/ insertion
of indwelling URETERAL STENT
(eg, Gibbons or double-J type)
Cystourethroscopy w/ insertion
of ureteral guide wire through
kidney to establish a percutaneous
nephrostomy, retrograde
Cystourethroscopy, w/
URETEROSCOPY and/or pyeloscopy
(includes dilation of the ureter and/or
pyeloureteral junction by any method);
w/ removal or manipulation of calculus
(ureteral catheterization is included)
w/ lithotripsy (ureteral catheterization
is included)
51
x
60
50
60
x
50
60
x
70
85
x
80
100 x
52338
52339
w/ biopsy and/or fulguration of lesion
w/ resection of tumor
110
110
80
Vesical Neck and Prostate
52340
52450
52500
52510
52601
52606
52612
52614
52620
Cystourethroscopy w/ incision,
fulguration, or resection of
congenital posterior urethral valves,
or congenital obstructive hypertrophic
mucosal folds
Transurethral incision of prostate
Transurethral resection of bladder neck
Transurethral balloon dilation of the
prostatic urethra, any method
Transurethral electrosurgical
resection of prostate, including control
of postoperative bleeding, complete
(vasectomy, meatomy,
cystourethroscopy, urethral calibration
and/or dilation, and internal
urethrotomy are included)
Transurethral fulguration for
postoperative bleeding occuring after
the usual follow-up time
Transurethral resection of prostate;
first stage of two-stage resection
(partial resection)
second stage of two-stage resection
(resection completed)
Transurethral resection; of residual
obstructive tissue after 90 days
52
100
110
120
110 x
150 x
150 x
80
200
100
110
110
250 x
52630
52640
52647
52648
52649
52700
postoperative
100 120 x
of regrowth of obstructive tissue
longer than one year postoperative
130 250 x
of postoperative bladder neck contracture 100 120 x
Non-contact laser coagulation of
prostate, including control of
postoperative bleeding, complete
(vasectomy, meatotomy,
cystourethroscopy, urethral calibration
and/or dilation, and internal
urethrotomy are included)
180
Contact laser vaporization w/ or w/o
transurethral resection of prostate,
including control of postoperative
bleeding, complete (vasectomy,
meatotomy, cystourethroscopy,
urethral calibration and/or dilation,
and internal urethrotomy are included)
180
Cryosurgery or High intensity focused ultrasound of
prostate including transurethral resection of prostate
Transurethral drainage of prostatic
abscess
URETHRA
Incision
53000 Urethrotomy or urethrostomy,
external ; pendulous urethra
53010 perineal urethra, external
53020 Meatotomy, cutting of meatus;
except infant
53
80
20
40
15
100 x
53025
53040
53060
53080
infant
40
Drainage of deep periurethral abscess
25
Drainage of Skene’s gland abscess or cyst 15
Drainage of perineal urinary extravasation 30
Excision
53200 Biopsy of urethra
53210 Urethrectomy, total, including
cystostomy; female
53215 male
53220 Excision of fulguration of
carcinoma of urethra
53230 Excision of urethral diverticulum; female
53235 male
53240 Marsupialization of urethral
diverticulum, male or female
53250 Excision of bulbourethral gland
(Cowper’s gland)
53260 Excision or fulguration; urethral
polyp(s), distal urethra
53265 urethral caruncle
53270 Skene’s glands
53275 urethral prolapse
Repair
53400 Urethroplasty; first stage, for fistula,
diverticulum, or stricture
(eg, Johannsen type)
53405 second stage (formation of urethra),
including urinary diversion
53410 Urethroplasty, one-stage
54
15
110
130
50
100
90
25
80
15
15
15
25
200
180
53415
53420
53425
53430
53440
53442
53443
53445
53447
53449
53450
reconstruction of male anterior urethra
Urethroplasty, transpubic or
perineal, one stage, for reconstruction
or repair of prostatic or
membranous urethra
Urethroplasty, two-stage
reconstruction or repair of prostatic
or membranous urethra; first stage
second stage
Urethroplasty, reconstruction of
female urethra
Operation for correction of male
urinary incontinence, w/ or w/o
introduction of prosthesis
Removal of perineal prosthesis
introduced for continence
Urethroplasty w/ tubularization of
posterior urethra and/or lower
bladder for incontinence (eg,
Tenago, Leadbetter procedure)
Operation for correction of urinary
incontinence w/ placement of inflatable
urethral or bladder neck sphincter,
including placement of
pump and/or reservoir
Removal, repair, or replacement
of inflatable sphincter including pump
and/or reservoir and/or cuff
Surgical correction of hydraulic
abnormality of inflatable sphincter device
Urethromeatoplasty, w/ mucosal
55
90
280
250
180
100
100
100
210
220
280
100
53460
53502
53505
53510
53515
53520
advancement
Urethromeatoplasty, w/ partial
excision of distal urethral segment
(Richardson type procedure)
Urethrorrhaphy, suture of urethral
wound or injury, female
Urethrorrhaphy, suture of urethral
wound or injury; penile
perineal
prostatomembranous
Closure of urethrostomy or
urethrocutaneous fistula, male
40
40
50
50
60
60
30
Manipulation
53600
53605
53665
Dilation of urethral stricture by
passage of sound or urethral dilator, male 15
Dilation of urethral stricture or
vesical neck, male, general or
conduction (spinal) anesthesia
15
Dilation of female urethra, general
or conduction (spinal) anesthesia
15
Male Genital System
PENIS
Incision
54015 Incision and drainage of penis
Destruction
54050
Destruction of lesion(s), penis (eg,
56
10
20
x
20
x
20
x
condyloma, papilloma, molluscum
contagiosum, herpetic vesicle),
any method
Excision
54100 Biopsy of penis
54110 Excision of penile plaque
(Peyronie disease);
54111 w/ graft to 5 cm in length
54112 w/ graft greater than 5 cm in length
54115 Removal of foreign body from
deep penile tissue (eg, plastic implant)
54120 Amputation of penis; partial
54125 complete
54130 Amputation of penis, radical; w/
bilateral inguinofemoral lymphadenectomy
54135 in continuity w/ bilateral pelvic
lymphadenectomy, including external
iliac, hypogastric and obturator nodes
54150 Circumcision, using clamp or other
device; newborn
54152 except newborn
54160 Circumcision, surgical excision other
than clamp, device or dorsal slit; newborn
54161 except newborn
10
6
25
60
70
40
60
125
250
300
15
15
15
15
Introduction
54200
54205
54220
Injection procedure for Peyronie disease; 15
w/ surgical exposure of plaque
20
Irrigation of corpora cavernosa
57
for priapism
30
Repair
54300 Plastic operation of penis for
straightening of chordee (eg,
hypospadias), w/ or w/o mobilization
of urethra
54304 Plastic operation on penis for correction
of chordee or for first stage hypospadias
repair w/ or w/o transplantation of
prepuce and/or skin flaps
54308 Urethroplasty for second stage
hypospadias repair (including urinary
diversion); less than 3 cm
54312 greater than 3 cm
54316 Urethroplasty for second stage
hypospadias repair (including urinary
diversion) w/ free skin graft obtained
from site other than genitalia
54318 Urethroplasty for third stage
hypospadias repair to release penis
from scrotum (eg, third stage Cecil repair)
54322 One stage distal hypospadias repair
(w/ or w/o chordee or circumcision); w/
simple meatal advancement
(eg, Magpi, V-flap)
54324 w/ urethroplasty by local skin flaps
(eg, flip-flap, prepucial flap)
54326 w/ urethroplasty by local skin flaps
and mobilization of urethra
54328 w/ extensive dissection to correct
58
40
50
x
75
90
x
150
150
150
80
180
180
180
54332
54336
54340
54344
54348
54352
54380
54385
chordee and urethroplasty w/ local
skin flaps, skin graft patch,
and/or island flap
One stage proximal penile or
penoscrotal hypospadias repair
requiring extensive dissection to
correct chordee and urethroplasty by
use of skin graft tube and/or island flap
One stage perineal hypospadias
repair requiring extensive dissection
to correct chordee and urethroplasty
by use of skin graft tube and/or island flap
Repair of hypospadias complications
(ie, fistula, stricture, diverticula); by
closure, incision, or excision, simple
requiring mobilization of skin flaps
and urethroplasty w/ flap or patch graft
requiring extensive dissection and
urethroplasty w/ flap, patch or tubed
graft (includes urinary diversion)
Repair of hypospadias cripple
requiring extensive dissection and
excision of previously constructed
structures including re-release of
chordee and reconstruction of urethra
and penis by use of local skin as grafts
and island flaps and skin brought in as
flaps or grafts
Plastic operation on penis for
epispadias distal to external sphincter;
w/ incontinence
59
200
220
220
220
100
120
250
200
220
54390
54420
54430
54435
54440
w/ exstrophy of bladder
Corpora cavernosa-saphenous vein
shunt (priapism operation), unilateral
or bilateral
Corpora cavernosa-corpus
spongiosum shunt (priapism
operation), unilateral or bilateral
Corpora cavernosa-glans penis
fistulization (eg, biopsy needle,
Winter procedure, rongeur, or
punch) for priapism
Plastic operation of penis for injury
TESTIS
Excision
54500 Biopsy of testis, needle
54505 Biopsy of testis, incisional
54510 Excision of local lesion of testis
54520 Orchiectomy, simple (including
subcapsular), w/ or w/o testicular
prosthesis, scrotal or inguinal approach
54522 Bilateral Orchiectomy
54530 Orchiectomy, radical, for tumor; inguinal
approach
54535 w/ abdominal exploration
54550 Exploration for undescended testis
(inguinal or scrotal area)
54560 Exploration for undescended testis
w/ abdominal exploration
Repair
60
250
80
80
40
80
6
15
20
20
x
50
60 x
120 x
50
70
65
84
x
x
50
60
x
70
85
x
54600
Reduction of torsion of testis, surgical,
w/ or w/o fixation of contralateral testis
emergency
54620 Fixation of contralateral testis
54640 Orchiopexy, inguinal approach, w/
or w/o hernia repair
54650 Orchiopexy, abdominal approach,
for intra-abdominal testis
(eg, Fowler-Stephens)
54670 Suture or repair of testicular injury
54680 Transplantation of testis(es) to
thigh (because of scrotal destruction)
40
EPIDIDYMIS
Incision
54700 Incision and drainage of epididymis,
testis and/or scrotal space (eg,
abscess or hematoma)
12
Excision
54800 Biopsy of epididymis, needle
54820 Exploration of epididymis, w/ or
w/o biopsy
54830 Excision of local lesion of epidydimis
54840 Excision of spermatocele, w/
or w/o epididymectomy
54860 Epididymectomy; unilateral
54861 bilateral
Repair
54900 Epididymovasostomy, anastomosis
61
50
65
x
50
60
x
70
30
85
50
x
x
20
20
25
x
25
25
35
30
x
25
6
54901
55060
of epididymis to vas deferens; unilateral
bilateral
Repair of Tunica Vaginalis hydrocoele
( Bottle type )
60
100
40
Incision
55000 Puncture aspiration of hydrocele,
tunica vaginalis, w/ or w/o injection of
medication
6
Excision
55040 Excision of hydrocele; unilateral
55041 bilateral
40
60
Scrotum
Incision
55100 Drainage of scrotal wall abscess
55110 Scrotal exploration
55120 Removal of foreign body in scrotum
Drainage and debridement of
Fourniers gangrene of the scrotum
Repeat debridement for Fournier’s
gangrene, per session
Excision
55150 Resection of scrotum
Repair
55175 Scrotoplasty
x
50 x
100 x
6
25
12
15
20
62
50
50
x
25
x
VAS DEFERENS
Incision
55200 Vasotomy, cannulization w/ or
w/o incision of vas, unilateral or bilateral
55250 Vasectomy, unilateral or bilateral
2
15
Repair
55400 Vasovasostomy, vasovasorrhaphy
60
SPERMATIC CORD
Excision
55500 Excision of hydrocele of spermatic
cord, unilateral
55520 Excision of lesion of spermatic cord
55530 Excision of varicocele or ligation of
spermatic veins for varicocele;
Excision of varicocoele or ligation
of spermatic veins for varicocoele;
BILATERAL
55535 abdominal approach
55540 UNILATERAL VARICOCOELECTOMY
W/ hernia repair
BILATERAL WITH HERNIA REPAIR
40
40
50
x
60
75
x
75
150 x
90 x
75
SEMINAL VESICLES
Incision
55600 Vesiculotomy;
55
Excision
55650 Vesiculectomy, any approach
55680 Excision of Mullerian duct cyst
100
100
63
90 x
180 x
PROSTATE
Incision
55700 Biopsy, prostate; needle or punch,
single or multiple, any approach
55720 Prostatotomy, external drainage of
prostatic abscess, any approach
Excision
55801 Prostatectomy, perineal, subtotal
(including control of postoperative
bleeding, vasectomy, meatotomy,
urethral calibration and/or dilation,
and internal urethrotomy)
55810 Prostatectomy, perineal radical;
55812 w/ lymph node biopsy(s) (limited
pelvic lymphadenectomy)
55815 w/ bilateral pelvic lymphadenectomy,
including external iliac, hypogastric
and obturator nodes
55821 Prostatectomy (including control
of postoperative bleeding, vasectomy,
meatotomy, urethral calibration and/or
dilation, and internal urethrotomy);
suprapubic, subtotal, one or two stages
55831 retropubic, subtotal
55840 Prostatectomy, retropubic radical,
w/ or w/o nerve sparing;
55842 w/ lymph node biopsy(s) (limited
pelvic lymphadenectomy)
55845 w/ bilateral pelvic lymphadenectomy,
64
20
25
x
20
200
250
240 x
310 x
275
340 x
275
340 x
200
200
240
250
310 x
275
340 x
55860
55862
55865
including external iliac, hypogastric,
and obturator nodes
Exposure of prostate, any approach,
for insertion of radioactive substance;
w/ lymph node biopsy(s) (limited
pelvic lymphadenectomy)
w/ bilateral pelvic lymphadenectomy,
including external iliac, hypogastric
and obturator nodes
TRANSURETHRAL MICROWAVE
THERMOTHERAPY
Prostate volume studies for :
brachytherapy, cryotherapy,
IMRT, EBRT, LINAC
53852 TULIP/TUNA
55873 CRYOSURGICAL THERAPY
OF THE PROSTATE
55590 HIFU high intensity focused
ultrasound of the prostate
including transurethral resection
of the prostate
555866 Transperineal placement of pellets
for interstitial radiation of the prostate
300
360 x
50
100
150
53850
50541
Laparoscopy, surgical, radical
prostatectomy with or without pelvic
lymphadenectomy
Laparoscopy, surgical, Nephrectomy
Laparoscopic surgical ablation
of renal cyst
65
250
50
250
400
250
300 x
80
200 x
300 x
200 x
50
60
x
50542
50543
60650
55550
Laparoscopic ablation of renal
mass lesion
Laparoscopic partial nephrectomy
Laparoscopy, surgical, Radical
Cystectomy
Laparoscopy, surgical,
Adrenalectomy, unilateral
Laparoscopy, surgical,
Varicocoelectomy, unilateral
Laparoscopy, surgical,
Varicocoelectomy, bilateral
Urodynamic studies
Voiding Cystourethrogram
66
50
250
50
x
300
200
60
110 x
20
220 x
30 x
30 x
67
68
`