CPT Code for Transurethral Resection of Bladder Neck
The CPT code for transurethral resection of the bladder neck is 52500.
Understanding the Procedure
Transurethral resection of the bladder neck is an endoscopic surgical procedure performed to relieve bladder outlet obstruction, most commonly following prostate procedures or in cases of bladder neck contracture. The procedure involves:
- Endoscopic resection of bladder neck tissue using an electrified loop through the urethra, similar to TURP technique but focused specifically on the bladder neck 1
- No external incision required, as access is gained transurethrally 1
- Comparable outcomes to bladder neck incision for treating contractures, with surgeon preference determining the specific approach 1
Clinical Context and Indications
Bladder neck resection is indicated for:
- Bladder neck contracture following endoscopic prostate procedures, where either dilation, bladder neck incision, or transurethral resection may be performed with comparable outcomes 1
- Small prostates (≤30-35 grams) with bladder outlet obstruction, where bladder neck procedures offer advantages over full TURP 2, 3
- Recurrent contractures requiring repeat endoscopic treatment 1
Procedural Advantages
When compared to full transurethral resection of the prostate for appropriate indications, bladder neck resection demonstrates:
- Shorter operative time and reduced transfusion requirements 2
- Lower volume of irrigation fluid needed 2
- Reduced postoperative urinary infections 2, 3
- Shorter catheter stay and hospital duration 3
- Lower rates of bladder neck contracture as a complication 4
Important Coding Considerations
- CPT 52500 specifically describes transurethral resection of the bladder neck (separate procedure)
- This code is distinct from TURP (CPT 52601) and bladder neck incision (CPT 52285)
- The procedure may require repeat treatment for successful outcomes in some patients 1