CPT Code for Transurethral Resection of Regrown Prostate Tissue
The CPT code for transurethral resection of regrown prostate tissue (repeat TURP) is 52630.
Understanding the Procedure Code
The Current Procedural Terminology (CPT) system uses specific codes to distinguish between initial and repeat prostate resection procedures:
- CPT 52601: Initial transurethral resection of the prostate (TURP) for benign prostatic hyperplasia
- CPT 52630: Transurethral resection of residual obstructive tissue after previous resection of prostate (repeat TURP)
Clinical Context for Repeat TURP
Regrowth of prostatic tissue requiring repeat resection occurs in a subset of patients who have previously undergone TURP. 1 The need for repeat intervention can arise from:
- Incomplete initial resection with residual obstructive tissue 1
- True regrowth of prostatic tissue over time following adequate initial resection 2
- Bladder neck contracture or urethral stricture (7% incidence) requiring endoscopic management 3
- Long-term failure to void (increasing from 2% to 11.5% in recent years) 2
Important Coding Considerations
When billing for repeat TURP, documentation must clearly indicate that this is a secondary procedure addressing regrown or residual prostatic tissue, not the initial resection. 1 Key documentation elements include:
- Previous TURP date and operative findings 2
- Current symptoms and objective findings (uroflowmetry showing Qmax <10-15 ml/sec suggests inadequate channel) 4
- Indication for repeat intervention (recurrent obstruction, urinary retention, or persistent LUTS despite initial surgery) 2, 5
Clinical Outcomes and Risks
Patients undergoing repeat TURP face similar but potentially higher complication rates compared to initial procedures:
- Sexual dysfunction remains common (65% retrograde ejaculation, 10% erectile dysfunction) 3
- Bladder neck contracture/stricture risk (7%) 3
- Bleeding requiring transfusion (8%) 3
- Higher rates of long-term voiding dysfunction in contemporary series 2
The mean resection weight in repeat procedures is typically lower than initial TURP (approximately 20-23g), reflecting removal of regrown rather than virgin tissue. 2