Billing, Coding & Reimbursement

Reference tables for CPT procedure codes, ICD-10 diagnosis codes, and billing modifiers relevant to functional urology, GU reconstruction, and female pelvic medicine. Code descriptions and wRVU values are for educational reference; verify current values against the AMA CPT database and CMS Physician Fee Schedule before billing.

Note on terminology. Several ICD-10 code descriptions below (e.g., F64.0 Transsexualism, Q56.0–Q56.4 Hermaphroditism / Pseudohermaphroditism, Z87.890 Personal history of sex reassignment) use clinical language that is now outdated and, in some cases, considered stigmatizing. The text is reproduced verbatim from the WHO/CMS code set because billing accuracy requires matching the official descriptor — it does not reflect preferred contemporary clinical language. In clinical documentation and patient-facing communication, use current terminology (e.g., differences of sex development / DSD, gender dysphoria / gender incongruence, gender-affirming surgery).

CPT Procedure Codes

All TypesAUSBPHBladder NeckBladder Recon / DiversionCystoscopyFistula RepairGenital ReconGraft HarvestHysterectomyOAB / Botox / PTNSPenile ProsthesisPeyronie'sProlapse RepairSacral NeuromodulationSling / SUITrauma / GenitalUpper Tract ReconUrethra OtherUrethroplastyUrodynamicsVaginal Recon / GAS238 results

CPT	Procedure Name	Type	wRVUs
53444	Insertion of tandem cuff (second cuff) artificial urinary sphincter	AUS	14.19
53445	Insertion of artificial urinary sphincter (bladder neck or urethra), all components	AUS	13.00
53446	Removal of artificial urinary sphincter (bladder neck or urethra), all components	AUS	11.02
53447	Removal and replacement of artificial urinary sphincter, all components	AUS	14.28
53448	Removal and replacement of artificial urinary sphincter, all components, infected field	AUS	23.44
53449	Repair of artificial urinary sphincter: cuff, pump, or reservoir	AUS	10.56
54400	Insertion of penile prosthesis; non-inflatable (malleable)	Penile Prosthesis	8.50
54405	Insertion of multi-component, inflatable penile prosthesis (3-piece IPP)	Penile Prosthesis	14.52
54406	Removal of all components of inflatable penile prosthesis without replacement	Penile Prosthesis	9.15
54408	Repair of component(s) of multi-component inflatable penile prosthesis	Penile Prosthesis	13.91
54410	Removal and replacement of all components of multi-component IPP (non-infected)	Penile Prosthesis	15.18
54411	Removal and replacement of all components of multi-component IPP (infected field)	Penile Prosthesis	18.35
54415	Removal of non-inflatable (malleable) penile prosthesis without replacement	Penile Prosthesis	8.88
54416	Removal and replacement of non-inflatable (malleable) penile prosthesis	Penile Prosthesis	12.08
54417	Removal and replacement of non-inflatable (malleable) penile prosthesis (infected field)	Penile Prosthesis	16.10
54110	Incision of penile plaque (Peyronie's disease)	Peyronie's	10.92
54111	Incision of penile plaque (Peyronie's); with grafting 5 cm or less	Peyronie's	14.42
54112	Incision of penile plaque (Peyronie's); with graft greater than 5 cm	Peyronie's	16.98
54200	Injection procedure for Peyronie's disease (e.g., collagenase)	Peyronie's	1.11
54205	Injection procedure for Peyronie's with surgical exposure of plaque	Peyronie's	8.97
54360	Plastic operation on penis to correct angulation	Peyronie's	11.44
53400	Urethroplasty; first stage, for fistula, diverticulum, or stricture (e.g., Johanson)	Urethroplasty	14.30
53405	Urethroplasty; second stage (formation of urethra), including urinary diversion	Urethroplasty	16.40
53410	Urethroplasty, 1-stage reconstruction of male anterior urethra	Urethroplasty	20.10
53415	Urethroplasty, transpubic or perineal, 1-stage, prostatic or membranous urethra	Urethroplasty	24.20
53420	Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage	Urethroplasty	18.50
53425	Urethroplasty, 2-stage; second stage	Urethroplasty	19.80
53430	Urethroplasty, reconstruction of female urethra	Urethroplasty	15.60
53431	Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (e.g., Tenago)	Urethroplasty	17.50
53450	Urethromeatoplasty, with mucosal advancement	Urethroplasty	7.13
53460	Urethromeatoplasty, with partial excision of distal urethral segment (Richardson)	Urethroplasty	6.86
53520	Closure of urethrostomy or urethrocutaneous fistula, male	Urethroplasty	9.21
52275	Cystourethroscopy with internal urethrotomy (DVIU)	Bladder Neck	4.42
52276	Cystourethroscopy with direct vision internal urethrotomy	Bladder Neck	4.95
52277	Cystourethroscopy with resection of external sphincter (sphincterotomy)	Bladder Neck	7.20
52450	Transurethral incision of prostate (TUIP) — applicable to bladder-neck contracture	Bladder Neck	8.84
52640	Transurethral resection or incision of postoperative bladder neck contracture (TUIBNC)	Bladder Neck	4.51
53860	Transurethral radiofrequency micro-remodeling of female bladder neck and urethra (SUI)	Bladder Neck	3.06
51840	Anterior vesicourethropexy (e.g., Marshall-Marchetti-Krantz), simple	Sling / SUI	11.50
51841	Anterior vesicourethropexy; complicated (e.g., secondary repair)	Sling / SUI	14.80
51845	Abdomino-vaginal vesical neck suspension (e.g., Stamey, Raz, modified Pereyra)	Sling / SUI	10.90
51990	Laparoscopic urethral suspension for stress incontinence	Sling / SUI	11.20
51992	Laparoscopic sling operation for stress incontinence (e.g., fascia or synthetic)	Sling / SUI	11.20
53442	Removal or revision of sling for male urinary incontinence	Sling / SUI	11.50
57288	Sling operation for stress incontinence (e.g., fascia or synthetic)	Sling / SUI	12.00
51715	Endoscopic injection of implant material into submucosal tissues of urethra/bladder neck (urethral bulking)	Urethra Other	4.80
53230	Excision of urethral diverticulum (separate procedure); female	Urethra Other	12.30
53235	Excision of urethral diverticulum; male	Urethra Other	15.40
53240	Marsupialization of urethral diverticulum, male or female	Urethra Other	8.40
51900	Closure of vesicovaginal fistula, abdominal approach	Fistula Repair	22.50
51920	Closure of vesicourethral fistula	Fistula Repair	18.40
51925	Closure of vesicouterine fistula with hysterectomy	Fistula Repair	28.10
57300	Closure of rectovaginal fistula; vaginal or perineal approach	Fistula Repair	14.60
57305	Closure of rectovaginal fistula with synchronous colostomy	Fistula Repair	22.30
57307	Closure of rectovaginal fistula with abdominal approach and/or revision of colostomy	Fistula Repair	25.80
57308	Closure of rectovaginal fistula; transperineal approach with perineal body reconstruction	Fistula Repair	18.20
57310	Closure of urethrovaginal fistula	Fistula Repair	12.84
57311	Closure of urethrovaginal fistula; with bulbocavernosus transplant	Fistula Repair	14.94
57320	Closure of vesicovaginal fistula; vaginal approach	Fistula Repair	15.18
57330	Closure of vesicovaginal fistula; transvesical and vaginal approach	Fistula Repair	19.85
45800	Closure of rectovesical fistula (rectourethral)	Fistula Repair	24.30
45805	Closure of rectovesical fistula with colostomy	Fistula Repair	28.40
51725	Simple cystometrography (e.g., spinal manometer)	Urodynamics	1.40
51726	Complex cystometrography (with or without voiding pressure or urethral pressure profile)	Urodynamics	2.30
51727	Complex cystometrography with urethral pressure profile	Urodynamics	2.55
51728	Complex cystometrography with voiding pressure studies	Urodynamics	2.80
51729	Complex cystometrography with voiding pressure studies and urethral pressure profile	Urodynamics	3.10
51736	Simple uroflowmetry (e.g., stop-watch flow rate, mechanical uroflow)	Urodynamics	0.17
51741	Complex uroflowmetry (e.g., calibrated electronic equipment)	Urodynamics	0.20
51784	Electromyography studies of anal or urethral sphincter, other than needle	Urodynamics	1.50
51785	Needle electromyography studies of anal or urethral sphincter, any technique	Urodynamics	2.00
51792	Stimulus evoked response (e.g., bulbocavernosus reflex latency)	Urodynamics	1.30
51797	Voiding pressure studies, intra-abdominal (rectal, gastric, intraperitoneal)	Urodynamics	0.75
51798	Measurement of post-void residual urine and/or bladder capacity by ultrasound	Urodynamics	0.55
58150	Total abdominal hysterectomy (corpus and cervix), with/without removal of tube(s)/ovary(s)	Hysterectomy	14.18
58152	Total abdominal hysterectomy with colpo-urethropexy	Hysterectomy	17.40
58180	Supracervical abdominal hysterectomy (subtotal)	Hysterectomy	13.80
58200	Total abdominal hysterectomy including partial vaginectomy; with para-aortic and pelvic lymph node sampling	Hysterectomy	28.60
58260	Vaginal hysterectomy, for uterus 250 g or less	Hysterectomy	13.50
58262	Vaginal hysterectomy, ≤250 g; with removal of tube(s) and/or ovary(s)	Hysterectomy	14.60
58263	Vaginal hysterectomy, ≤250 g; with adnexectomy and enterocele repair	Hysterectomy	16.20
58267	Vaginal hysterectomy, ≤250 g; with anterior and/or posterior colporrhaphy	Hysterectomy	16.80
58270	Vaginal hysterectomy, ≤250 g; with repair of enterocele	Hysterectomy	15.40
58290	Vaginal hysterectomy, >250 g	Hysterectomy	16.00
58291	Vaginal hysterectomy, >250 g; with adnexectomy	Hysterectomy	17.10
58292	Vaginal hysterectomy, >250 g; with adnexectomy and enterocele repair	Hysterectomy	18.60
58293	Vaginal hysterectomy, >250 g; with colporrhaphy	Hysterectomy	19.20
58294	Vaginal hysterectomy, >250 g; with repair of enterocele	Hysterectomy	17.80
58541	Laparoscopic supracervical hysterectomy, ≤250 g	Hysterectomy	14.20
58542	Laparoscopic supracervical hysterectomy, ≤250 g; with adnexectomy	Hysterectomy	15.30
58543	Laparoscopic supracervical hysterectomy, >250 g	Hysterectomy	17.10
58544	Laparoscopic supracervical hysterectomy, >250 g; with adnexectomy	Hysterectomy	18.20
58550	Laparoscopic-assisted vaginal hysterectomy (LAVH), ≤250 g	Hysterectomy	14.80
58552	LAVH, ≤250 g; with adnexectomy	Hysterectomy	15.90
58553	LAVH, >250 g	Hysterectomy	17.50
58554	LAVH, >250 g; with adnexectomy	Hysterectomy	18.60
58570	Laparoscopic total hysterectomy, ≤250 g	Hysterectomy	15.40
58571	Laparoscopic total hysterectomy, ≤250 g; with adnexectomy	Hysterectomy	16.50
58572	Laparoscopic total hysterectomy, >250 g	Hysterectomy	18.20
58573	Laparoscopic total hysterectomy, >250 g; with adnexectomy	Hysterectomy	19.30
56810	Perineoplasty, repair of perineum, nonobstetrical	Prolapse Repair	7.40
57106	Vaginectomy, partial removal of vaginal wall	Prolapse Repair	11.84
57110	Vaginectomy, complete removal of vaginal wall	Prolapse Repair	15.39
57120	Colpocleisis (Le Fort type)	Prolapse Repair	9.94
57200	Colporrhaphy, suture of injury of vagina (nonobstetrical)	Prolapse Repair	6.80
57210	Colporrhaphy, with extension to perineum	Prolapse Repair	8.20
57220	Plastic operation on urethral sphincter, vaginal approach (Kelly plication)	Prolapse Repair	7.60
57230	Plastic repair of urethrocele	Prolapse Repair	8.10
57240	Anterior colporrhaphy, repair of cystocele with or without urethrocele, includes cystoscopy	Prolapse Repair	9.80
57250	Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy	Prolapse Repair	8.60
57260	Combined anteroposterior colporrhaphy	Prolapse Repair	12.40
57265	Combined anteroposterior colporrhaphy with enterocele repair	Prolapse Repair	14.20
57267	Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (add-on)	Prolapse Repair	4.20
57268	Repair of enterocele, vaginal approach (separate procedure)	Prolapse Repair	8.90
57270	Repair of enterocele, abdominal approach (separate procedure)	Prolapse Repair	10.60
57280	Colpopexy, abdominal approach (open sacrocolpopexy)	Prolapse Repair	17.80
57282	Colpopexy, vaginal extraperitoneal (sacrospinous, iliococcygeal)	Prolapse Repair	12.60
57283	Colpopexy, vaginal intraperitoneal (uterosacral, levator myorrhaphy)	Prolapse Repair	13.40
57284	Paravaginal defect repair; open abdominal approach	Prolapse Repair	14.20
57285	Paravaginal defect repair; vaginal approach	Prolapse Repair	11.80
57423	Paravaginal defect repair; laparoscopic approach	Prolapse Repair	16.40
57425	Laparoscopic colpopexy (sacrocolpopexy)	Prolapse Repair	19.60
57291	Construction of artificial vagina; without graft	Vaginal Recon / GAS	14.69
57292	Construction of artificial vagina; with graft	Vaginal Recon / GAS	17.92
57295	Revision (including removal) of prosthetic vaginal graft; vaginal approach	Vaginal Recon / GAS	11.50
57296	Revision of prosthetic vaginal graft; abdominal approach	Vaginal Recon / GAS	17.70
55970	Intersex surgery; male to female	Vaginal Recon / GAS	40.00
55980	Intersex surgery; female to male	Vaginal Recon / GAS	47.50
54300	Plastic operation of penis for straightening of chordee (e.g., hypospadias)	Genital Recon	11.34
54304	Plastic operation on penis for correction of chordee or first stage of fistula repair	Genital Recon	12.61
54308	Urethroplasty for second-stage hypospadias repair; ≤3 cm	Genital Recon	15.34
54312	Urethroplasty for second-stage hypospadias repair; >3 cm	Genital Recon	17.43
54316	Urethroplasty with free skin graft from area other than genitalia	Genital Recon	20.62
54318	Urethroplasty for third stage hypospadias repair to release penis from scrotum	Genital Recon	13.78
54322	One-stage distal hypospadias repair (e.g., MAGPI, V-flap)	Genital Recon	12.44
54324	One-stage distal hypospadias repair with extensive dissection	Genital Recon	13.36
54326	One-stage distal hypospadias repair with urethroplasty by local skin flaps	Genital Recon	14.20
54328	One-stage distal hypospadias repair with extensive skin flaps and urethroplasty	Genital Recon	15.05
54332	One-stage proximal penile or penoscrotal hypospadias repair	Genital Recon	17.36
54336	One-stage perineal hypospadias repair	Genital Recon	21.30
54340	Repair of hypospadias complication (fistula, stricture, diverticulum); simple	Genital Recon	8.40
54344	Repair of hypospadias complication; with mobilization and skin flaps	Genital Recon	13.76
54348	Repair of hypospadias complication; with extensive dissection and urethroplasty	Genital Recon	17.65
54352	Repair of hypospadias cripple requiring extensive dissection and urethroplasty with flap or free graft	Genital Recon	23.35
54380	Plastic operation on penis for epispadias distal to external sphincter	Genital Recon	14.50
54385	Plastic operation on penis for epispadias distal to external sphincter; with incontinence	Genital Recon	20.00
54390	Plastic operation on penis for epispadias with exstrophy of bladder	Genital Recon	28.55
54420	Corpora cavernosa-saphenous vein shunt (priapism)	Genital Recon	11.50
54430	Corpora cavernosa-corpus spongiosum shunt (priapism)	Genital Recon	10.00
54435	Corpora cavernosa irrigation/aspiration for priapism	Genital Recon	3.51
54437	Repair of traumatic corporeal tear(s) (penile fracture)	Genital Recon	12.45
54438	Replantation, penis, complete amputation including urethral repair	Genital Recon	32.60
54440	Plastic operation of penis for injury	Genital Recon	14.41
54520	Orchiectomy, simple (including subcapsular)	Genital Recon	5.96
54690	Laparoscopy, surgical; orchiectomy	Genital Recon	11.97
55175	Scrotoplasty; simple	Genital Recon	6.51
55180	Scrotoplasty; complicated	Genital Recon	12.50
40818	Excision of mucosa of vestibule of mouth as donor tissue (oral mucosa graft harvest)	Graft Harvest	4.10
40819	Excision of frenum, labial or buccal	Graft Harvest	2.45
50845	Replacement of all or part of ureter by intestine segment, including anastomosis	Bladder Recon / Diversion	32.30
51550	Cystectomy, partial; simple	Bladder Recon / Diversion	17.49
51555	Cystectomy, partial, complicated (e.g., post-radiation, previous surgery)	Bladder Recon / Diversion	23.45
51565	Cystectomy, partial, with reimplantation of ureter(s) into bladder	Bladder Recon / Diversion	23.79
51570	Cystectomy, complete (simple cystectomy, benign disease)	Bladder Recon / Diversion	26.62
51575	Cystectomy, complete, with bilateral pelvic lymphadenectomy	Bladder Recon / Diversion	34.07
51580	Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations	Bladder Recon / Diversion	32.71
51585	Cystectomy, complete, with ureterosigmoidostomy and bilateral pelvic lymphadenectomy	Bladder Recon / Diversion	36.38
51590	Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including bowel anastomosis	Bladder Recon / Diversion	34.07
51595	Cystectomy, complete, with ureteroileal conduit and bilateral pelvic lymphadenectomy	Bladder Recon / Diversion	37.74
51596	Cystectomy, complete, with continent diversion to native or substitute bladder	Bladder Recon / Diversion	40.35
51960	Enterocystoplasty, including bowel anastomosis (ileocystoplasty / sigmoid cystoplasty)	Bladder Recon / Diversion	32.43
50820	Ureteroileal conduit (ileal loop diversion); including bowel anastomosis	Bladder Recon / Diversion	30.00
50825	Continent diversion to abdominal wall (Kock pouch, Indiana pouch, etc.)	Bladder Recon / Diversion	35.20
50830	Urinary undiversion (e.g., taking down ileal conduit, ureterosigmoidostomy)	Bladder Recon / Diversion	34.00
50840	Replacement of all or part of ureter by intestine segment, including anastomosis	Bladder Recon / Diversion	32.00
50860	Ureterostomy, transplantation of ureter to skin	Bladder Recon / Diversion	17.10
50951	Cystostomy with creation of catheterizable continent stoma (Mitrofanoff/Monti channel)	Bladder Recon / Diversion	24.50
51980	Cutaneous vesicostomy	Bladder Recon / Diversion	13.07
50400	Pyeloplasty, plastic operation on renal pelvis with or without ureter; simple	Upper Tract Recon	17.50
50405	Pyeloplasty; complicated (congenital kidney abnormality, secondary, calycoplasty)	Upper Tract Recon	21.27
50544	Laparoscopic pyeloplasty	Upper Tract Recon	21.86
50760	Ureteroureterostomy	Upper Tract Recon	20.83
50770	Transureteroureterostomy	Upper Tract Recon	23.55
50780	Ureteroneocystostomy; anastomosis of single ureter to bladder	Upper Tract Recon	20.66
50782	Ureteroneocystostomy; anastomosis of duplicated ureter to bladder	Upper Tract Recon	21.18
50783	Ureteroneocystostomy; with extensive ureteral tailoring	Upper Tract Recon	23.97
50785	Ureteroneocystostomy; with vesico-psoas hitch or bladder flap	Upper Tract Recon	25.07
50800	Ureteroenterostomy, direct anastomosis of ureter to intestine	Upper Tract Recon	17.39
50810	Ureterosigmoidostomy with creation of sigmoid bladder and anastomosis (Mainz II)	Upper Tract Recon	25.00
50815	Ureterocolonic conduit, including bowel anastomosis	Upper Tract Recon	30.00
50650	Ureterectomy, with bladder cuff (separate procedure)	Upper Tract Recon	17.85
50722	Ureterolysis for ovarian or iliac vein syndrome	Upper Tract Recon	17.85
50725	Ureterolysis with reduction of vena cava (retrocaval ureter)	Upper Tract Recon	21.71
50727	Revision of urinary-cutaneous anastomosis (any type urostomy)	Upper Tract Recon	12.82
50728	Revision of urinary-cutaneous anastomosis with repair of fascial defect and hernia	Upper Tract Recon	17.13
52341	Cystourethroscopy with treatment of ureteral stricture (balloon, laser, electrocautery, incision)	Upper Tract Recon	5.51
52342	Cystourethroscopy with treatment of ureteropelvic junction stricture	Upper Tract Recon	6.38
52343	Cystourethroscopy with treatment of intra-renal stricture	Upper Tract Recon	6.50
52346	Cystourethroscopy with treatment of UPJ stricture (Acucise endopyelotomy)	Upper Tract Recon	7.40
64561	Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal)	Sacral Neuromodulation	8.20
64581	Open implantation of neurostimulator electrode array; sacral nerve (transforaminal)	Sacral Neuromodulation	10.40
64585	Revision or removal of peripheral neurostimulator electrode array	Sacral Neuromodulation	5.60
64590	Insertion or replacement of peripheral or gastric neurostimulator pulse generator or receiver	Sacral Neuromodulation	5.10
64595	Revision or removal of peripheral or gastric neurostimulator pulse generator or receiver	Sacral Neuromodulation	3.80
95970	Electronic analysis of implanted neurostimulator (simple programming)	Sacral Neuromodulation	0.45
95972	Electronic analysis of implanted neurostimulator (complex programming)	Sacral Neuromodulation	1.92
52287	Cystoscopy with injection(s) for chemodenervation of the bladder (onabotulinumtoxinA)	OAB / Botox / PTNS	5.60
64566	Posterior tibial neurostimulation, percutaneous needle electrode, single treatment session (PTNS)	OAB / Botox / PTNS	1.60
52000	Cystourethroscopy (separate procedure)	Cystoscopy	2.28
52001	Cystourethroscopy with irrigation and evacuation of multiple obstructing clots	Cystoscopy	3.40
52005	Cystourethroscopy with ureteral catheterization, with or without irrigation/instillation/ureteropyelography	Cystoscopy	3.80
52204	Cystourethroscopy with biopsy(s)	Cystoscopy	3.60
52214	Cystourethroscopy with fulguration of trigone, bladder neck, prostatic fossa, urethra, periurethral glands	Cystoscopy	4.20
52224	Cystourethroscopy with fulguration or treatment of minor bladder lesion(s) <0.5 cm	Cystoscopy	4.10
52240	Cystourethroscopy with fulguration or treatment of large bladder tumor(s)	Cystoscopy	6.80
52310	Cystourethroscopy with removal of foreign body, calculus, or ureteral stent (simple)	Cystoscopy	3.20
52315	Cystourethroscopy with removal of foreign body, calculus, or ureteral stent; complicated	Cystoscopy	4.60
51702	Insertion of temporary indwelling bladder catheter; simple (e.g., Foley)	Cystoscopy	0.50
51703	Insertion of temporary indwelling bladder catheter; complicated (altered anatomy, fractured catheter)	Cystoscopy	1.51
51045	Cystotomy with insertion of ureteral catheter or stent	Cystoscopy	11.00
51100	Aspiration of bladder; by needle	Cystoscopy	0.61
51102	Aspiration of bladder; with insertion of suprapubic catheter	Cystoscopy	2.06
52441	Cystourethroscopy with insertion of permanent adjustable transprostatic implant (UroLift); single	BPH	4.50
52442	Cystourethroscopy with insertion of permanent adjustable transprostatic implant; each additional	BPH	1.13
53854	Transurethral destruction of prostate tissue; by radiofrequency-generated water vapor (Rezūm)	BPH	4.00
52601	TURP, complete (includes vasectomy, meatotomy, internal urethrotomy, urethral calibration)	BPH	13.07
52630	TURP, residual or regrowth of obstructive tissue	BPH	7.66
52647	Laser coagulation of prostate	BPH	11.00
52648	Laser vaporization of prostate (HoLEP/PVP)	BPH	13.00
52649	Laser enucleation of prostate (HoLEP)	BPH	15.99
53850	Transurethral microwave thermotherapy of prostate (TUMT)	BPH	5.20
53852	Transurethral needle ablation of prostate (TUNA)	BPH	5.20
54600	Reduction of torsion of testis, surgical, with or without fixation of contralateral testis	Trauma / Genital	8.60
54620	Fixation of contralateral testis (separate procedure)	Trauma / Genital	5.30
54670	Suture or repair of testicular injury	Trauma / Genital	8.06
11004	Debridement of skin/subq/muscle/fascia for necrotizing soft tissue infection; external genitalia and perineum	Trauma / Genital	8.16
11005	Debridement of NSTI; abdominal wall	Trauma / Genital	12.00
11006	Debridement of NSTI; external genitalia, perineum and abdominal wall	Trauma / Genital	15.00

ICD-10 Diagnosis Codes

All ConditionsAUS ComplicationsAnorectalBNC / VUASBPH / ProstateBladder Recon IndicationCongenital / PediatricErectile DysfunctionFemale GenitalFistulaGender / GASHematuriaIPP ComplicationsIncontinenceInterstitial CystitisMesh ComplicationsNeurogenic BladderOAB / LUTSPeyronie's / PenilePriapismProlapseSexual DysfunctionSkin / LSTraumaUTIUpper TractUrethral StrictureVoiding Dysfunction247 results

ICD-10	Description	Notes	Condition
N39.3	Stress incontinence (male) (female)	—	Incontinence
N39.41	Urge incontinence	—	Incontinence
N39.42	Incontinence without sensory awareness	—	Incontinence
N39.43	Post-void dribbling	—	Incontinence
N39.44	Nocturnal enuresis	—	Incontinence
N39.45	Continuous leakage	May indicate fistula	Incontinence
N39.46	Mixed incontinence	Stress + urge components	Incontinence
N39.490	Overflow incontinence	—	Incontinence
N39.491	Coital incontinence	—	Incontinence
N39.492	Postural (urinary) incontinence	—	Incontinence
N39.498	Other specified urinary incontinence	—	Incontinence
R32	Unspecified urinary incontinence	—	Incontinence
T83.111A	Breakdown (mechanical) of implanted urinary sphincter, initial encounter	—	AUS Complications
T83.118A	Breakdown of other urinary devices and implants, initial encounter	—	AUS Complications
T83.121A	Displacement of implanted urinary sphincter, initial encounter	—	AUS Complications
T83.191A	Other mechanical complication of implanted urinary sphincter, initial encounter	—	AUS Complications
T83.591A	Infection and inflammatory reaction due to implanted urinary sphincter, initial encounter	—	AUS Complications
T83.598A	Infection due to other prosthetic device/implant in urinary system, initial encounter	—	AUS Complications
T83.71XA	Erosion of implanted mesh into organ or tissue (urinary), initial encounter	—	AUS Complications
T83.81XA	Embolism due to genitourinary prosthetic device, initial encounter	—	AUS Complications
T83.490A	Other mechanical complication of implanted penile prosthesis, initial encounter	—	IPP Complications
T83.491A	Breakdown of implanted penile prosthesis, initial encounter	—	IPP Complications
T83.492A	Displacement of implanted penile prosthesis, initial encounter	—	IPP Complications
T83.61XA	Infection and inflammatory reaction due to implanted penile prosthesis, initial encounter	—	IPP Complications
N52.01	Erectile dysfunction due to arterial insufficiency	—	Erectile Dysfunction
N52.02	Corporo-venous occlusive erectile dysfunction	—	Erectile Dysfunction
N52.03	Combined arterial insufficiency and corporo-venous occlusive ED	—	Erectile Dysfunction
N52.1	Erectile dysfunction due to diseases classified elsewhere	—	Erectile Dysfunction
N52.2	Drug-induced erectile dysfunction	—	Erectile Dysfunction
N52.31	Erectile dysfunction following radical prostatectomy	—	Erectile Dysfunction
N52.32	Erectile dysfunction following radical cystectomy	—	Erectile Dysfunction
N52.33	Erectile dysfunction following urethral surgery	—	Erectile Dysfunction
N52.34	Erectile dysfunction following simple prostatectomy	—	Erectile Dysfunction
N52.35	Erectile dysfunction following radiation therapy	—	Erectile Dysfunction
N52.36	Erectile dysfunction following interstitial seed therapy	—	Erectile Dysfunction
N52.37	Erectile dysfunction following prostate ablative therapy	—	Erectile Dysfunction
N52.39	Other and unspecified postprocedural erectile dysfunction	—	Erectile Dysfunction
N52.8	Other male erectile dysfunction	—	Erectile Dysfunction
N52.9	Male erectile dysfunction, unspecified	—	Erectile Dysfunction
N48.6	Induratio penis plastica (Peyronie's disease)	—	Peyronie's / Penile
N48.0	Leukoplakia of penis (includes lichen sclerosus of penis)	—	Peyronie's / Penile
N48.1	Balanoposthitis	—	Peyronie's / Penile
N48.2	Other inflammatory disorders of penis	—	Peyronie's / Penile
N48.81	Thrombosis of superficial vein of penis	—	Peyronie's / Penile
N48.82	Acquired buried penis	—	Peyronie's / Penile
N48.83	Sclerosing lymphangitis of penis	—	Peyronie's / Penile
N48.89	Other specified disorders of penis	—	Peyronie's / Penile
N48.30	Priapism, unspecified	—	Priapism
N48.31	Priapism due to trauma	—	Priapism
N48.32	Priapism due to disease classified elsewhere	—	Priapism
N48.33	Priapism, drug-induced	—	Priapism
N48.39	Other priapism	Ischemic, not elsewhere classified	Priapism
N35.010	Post-traumatic urethral stricture, male, meatal	—	Urethral Stricture
N35.011	Post-traumatic bulbous urethral stricture	—	Urethral Stricture
N35.012	Post-traumatic membranous urethral stricture	—	Urethral Stricture
N35.013	Post-traumatic anterior urethral stricture	—	Urethral Stricture
N35.014	Post-traumatic urethral stricture, female	—	Urethral Stricture
N35.016	Post-traumatic urethral stricture, male, overlapping sites	Panurethral stricture	Urethral Stricture
N35.111	Postinfective urethral stricture NEC, male, meatal	—	Urethral Stricture
N35.112	Postinfective bulbous urethral stricture NEC	—	Urethral Stricture
N35.113	Postinfective anterior bulbous urethral stricture NEC	—	Urethral Stricture
N35.114	Postinfective urethral stricture NEC, female	—	Urethral Stricture
N35.116	Postinfective urethral stricture NEC, male, overlapping sites	Panurethral stricture	Urethral Stricture
N35.119	Postinfective urethral stricture NEC, male, unspecified site	—	Urethral Stricture
N35.12	Postinfective urethral stricture NEC, female	—	Urethral Stricture
N35.810	Other urethral stricture, male, meatal	—	Urethral Stricture
N35.811	Other urethral bulbous stricture, male	—	Urethral Stricture
N35.812	Other urethral membranous stricture	—	Urethral Stricture
N35.813	Other anterior bulbous urethral stricture, male	—	Urethral Stricture
N35.814	Other anterior urethral stricture, male	—	Urethral Stricture
N35.816	Other urethral stricture, male, overlapping sites	Panurethral stricture	Urethral Stricture
N35.819	Other urethral stricture, male, unspecified site	—	Urethral Stricture
N35.82	Other urethral stricture, female	—	Urethral Stricture
N35.9	Urethral stricture, unspecified	—	Urethral Stricture
N99.110	Postprocedural urethral stricture, male, meatal	—	Urethral Stricture
N99.111	Postprocedural bulbous urethral stricture	—	Urethral Stricture
N99.112	Postprocedural membranous urethral stricture	—	Urethral Stricture
N99.113	Postprocedural anterior bulbous urethral stricture	—	Urethral Stricture
N99.114	Postprocedural anterior urethral stricture, male	—	Urethral Stricture
N99.115	Postprocedural urethral stricture, male, unspecified	—	Urethral Stricture
N99.116	Postprocedural urethral stricture, male, overlapping sites	—	Urethral Stricture
N99.12	Postprocedural urethral stricture, female	—	Urethral Stricture
N32.0	Bladder-neck obstruction (bladder neck contracture)	Use for primary BNC, post-TURP BNC	BNC / VUAS
N99.89	Other postprocedural complications of GU system	Use for VUAS when no specific code applies	BNC / VUAS
N82.0	Vesicovaginal fistula	—	Fistula
N82.1	Other female urinary-genital tract fistulae	Includes ureterovaginal, urethrovaginal	Fistula
N82.2	Fistula of vagina to small intestine	—	Fistula
N82.3	Fistula of vagina to large intestine (rectovaginal fistula)	—	Fistula
N82.4	Other female intestinal-genital tract fistulae	—	Fistula
N82.5	Female genital tract-skin fistulae	—	Fistula
N82.8	Other female genital tract fistulae	—	Fistula
N82.9	Female genital tract fistula, unspecified	—	Fistula
N36.0	Urethral fistula	—	Fistula
N32.1	Vesicointestinal fistula	Vesicoenteric, vesicosigmoid, rectourethral male	Fistula
N32.2	Vesical fistula, not elsewhere classified	—	Fistula
K63.2	Fistula of intestine	Use with N36.0 for male rectourethral fistula	Fistula
N31.0	Uninhibited neuropathic bladder, NEC	—	Neurogenic Bladder
N31.1	Reflex neuropathic bladder, NEC	—	Neurogenic Bladder
N31.2	Flaccid neuropathic bladder, NEC	—	Neurogenic Bladder
N31.8	Other neuromuscular dysfunction of bladder	—	Neurogenic Bladder
N31.9	Neuromuscular dysfunction of bladder, unspecified	—	Neurogenic Bladder
N81.0	Urethrocele	—	Prolapse
N81.10	Cystocele, unspecified	—	Prolapse
N81.11	Cystocele, midline	—	Prolapse
N81.12	Cystocele, lateral	Paravaginal defect	Prolapse
N81.2	Incomplete uterovaginal prolapse	—	Prolapse
N81.3	Complete uterovaginal prolapse	—	Prolapse
N81.4	Uterovaginal prolapse, unspecified	—	Prolapse
N81.5	Vaginal enterocele	—	Prolapse
N81.6	Rectocele	—	Prolapse
N81.81	Perineocele	—	Prolapse
N81.82	Incompetence/disruption of pelvic floor muscles	—	Prolapse
N81.84	Cervical stump prolapse	Post-supracervical hysterectomy	Prolapse
N81.85	Cervicovaginal fistula	—	Prolapse
N81.89	Other female genital prolapse	—	Prolapse
N99.3	Prolapse of vaginal vault after hysterectomy	—	Prolapse
T83.711A	Erosion of implanted mesh into vagina, initial encounter	—	Mesh Complications
T83.712A	Erosion of implanted mesh to surrounding organ or tissue	—	Mesh Complications
T83.713A	Erosion of implanted urethral bulking agent	—	Mesh Complications
T83.718A	Erosion of other implanted mesh into organ or tissue	—	Mesh Complications
T83.721A	Exposure of implanted mesh into vagina, initial encounter	—	Mesh Complications
T83.722A	Exposure of implanted mesh into surrounding organ/tissue	—	Mesh Complications
T83.723A	Exposure of implanted urethral bulking agent	—	Mesh Complications
T83.728A	Exposure of other implanted mesh into organ or tissue	—	Mesh Complications
N32.81	Overactive bladder	Primary OAB diagnosis	OAB / LUTS
N32.89	Other specified disorders of bladder	Bladder pain syndrome	OAB / LUTS
R39.15	Urgency of urination	—	OAB / LUTS
R35.0	Frequency of micturition	—	OAB / LUTS
R35.1	Nocturia	—	OAB / LUTS
R35.89	Other polyuria	—	OAB / LUTS
R33.0	Drug-induced urinary retention	—	Voiding Dysfunction
R33.8	Other retention of urine	—	Voiding Dysfunction
R33.9	Retention of urine, unspecified	—	Voiding Dysfunction
R39.11	Hesitancy of micturition	—	Voiding Dysfunction
R39.12	Poor urinary stream	—	Voiding Dysfunction
R39.13	Splitting of urinary stream	—	Voiding Dysfunction
R39.14	Feeling of incomplete bladder emptying	—	Voiding Dysfunction
R39.16	Straining on urination	—	Voiding Dysfunction
R39.198	Other difficulties with micturition	—	Voiding Dysfunction
N13.8	Other obstructive and reflux uropathy	—	Voiding Dysfunction
N30.10	Interstitial cystitis (chronic) without hematuria	—	Interstitial Cystitis
N30.11	Interstitial cystitis (chronic) with hematuria	—	Interstitial Cystitis
N30.30	Trigonitis without hematuria	—	Interstitial Cystitis
N30.31	Trigonitis with hematuria	—	Interstitial Cystitis
R30.0	Dysuria	—	Interstitial Cystitis
R30.9	Painful micturition, unspecified	—	Interstitial Cystitis
R31.0	Gross hematuria	—	Hematuria
R31.1	Benign essential microscopic hematuria	—	Hematuria
R31.21	Asymptomatic microscopic hematuria	—	Hematuria
R31.29	Other microscopic hematuria	—	Hematuria
K62.3	Rectal prolapse	—	Anorectal
K62.89	Other specified diseases of rectum	—	Anorectal
R15.0	Incomplete defecation	Obstructed defecation	Anorectal
R15.1	Fecal smearing	—	Anorectal
R15.2	Fecal urgency	—	Anorectal
R15.9	Full incontinence of feces	—	Anorectal
N13.0	Hydronephrosis with ureteropelvic junction obstruction	Primary UPJO	Upper Tract
N13.1	Hydronephrosis with ureteral stricture, NEC	—	Upper Tract
N13.2	Hydronephrosis with renal and ureteral calculous obstruction	—	Upper Tract
N13.30	Unspecified hydronephrosis	—	Upper Tract
N13.39	Other hydronephrosis	—	Upper Tract
N13.4	Hydroureter	—	Upper Tract
N13.5	Crossing vessel and stricture of ureter without hydronephrosis	—	Upper Tract
N13.6	Pyonephrosis	—	Upper Tract
N13.70	Vesicoureteral-reflux, unspecified	—	Upper Tract
N13.71	Vesicoureteral-reflux without reflux nephropathy	—	Upper Tract
N13.721	VUR with reflux nephropathy without hydroureter, unilateral	—	Upper Tract
N13.722	VUR with reflux nephropathy without hydroureter, bilateral	—	Upper Tract
N13.731	VUR with reflux nephropathy with hydroureter, unilateral	—	Upper Tract
N13.732	VUR with reflux nephropathy with hydroureter, bilateral	—	Upper Tract
N28.81	Hypertrophy of kidney	—	Upper Tract
N28.82	Megaloureter	—	Upper Tract
N28.86	Ureteritis cystica	—	Upper Tract
N28.89	Other specified disorders of kidney and ureter	Use for retroperitoneal-fibrosis ureteric obstruction	Upper Tract
Q54.0	Hypospadias, balanic (glanular)	—	Congenital / Pediatric
Q54.1	Hypospadias, penile	—	Congenital / Pediatric
Q54.2	Hypospadias, penoscrotal	—	Congenital / Pediatric
Q54.3	Hypospadias, perineal	—	Congenital / Pediatric
Q54.4	Congenital chordee	—	Congenital / Pediatric
Q54.8	Other hypospadias	—	Congenital / Pediatric
Q54.9	Hypospadias, unspecified	—	Congenital / Pediatric
Q64.0	Epispadias	—	Congenital / Pediatric
Q64.10	Bladder exstrophy, unspecified	—	Congenital / Pediatric
Q64.11	Supravesical fissure of urinary bladder	—	Congenital / Pediatric
Q64.12	Cloacal exstrophy of urinary bladder	—	Congenital / Pediatric
Q64.19	Other exstrophy of urinary bladder	—	Congenital / Pediatric
Q64.2	Congenital posterior urethral valves	—	Congenital / Pediatric
Q64.31	Congenital bladder neck obstruction	—	Congenital / Pediatric
Q64.32	Congenital stricture of urethra	—	Congenital / Pediatric
Q64.5	Congenital absence of bladder and urethra	—	Congenital / Pediatric
Q64.6	Congenital diverticulum of bladder	—	Congenital / Pediatric
Q64.71	Congenital prolapse of urethra	—	Congenital / Pediatric
Q64.74	Double urethra	—	Congenital / Pediatric
Q64.75	Double urinary meatus	—	Congenital / Pediatric
Q43.7	Persistent cloaca	—	Congenital / Pediatric
Q56.0	Hermaphroditism, NEC	DSD spectrum	Congenital / Pediatric
Q56.1	Male pseudohermaphroditism, NEC	—	Congenital / Pediatric
Q56.2	Female pseudohermaphroditism, NEC	—	Congenital / Pediatric
Q56.3	Pseudohermaphroditism, unspecified	—	Congenital / Pediatric
Q56.4	Indeterminate sex, unspecified	—	Congenital / Pediatric
F64.0	Transsexualism	—	Gender / GAS
F64.1	Dual role transvestism	—	Gender / GAS
F64.2	Gender identity disorder of childhood	—	Gender / GAS
F64.8	Other gender identity disorders	—	Gender / GAS
F64.9	Gender identity disorder, unspecified	—	Gender / GAS
Z87.890	Personal history of sex reassignment	—	Gender / GAS
N89.5	Stricture and atresia of vagina	Vaginal stenosis	Female Genital
N89.6	Tight hymenal ring	—	Female Genital
N89.8	Other specified noninflammatory disorders of vagina	—	Female Genital
N90.4	Leukoplakia of vulva	—	Female Genital
N90.5	Atrophy of vulva	—	Female Genital
N90.60	Unspecified hypertrophy of vulva	—	Female Genital
N90.61	Childhood asymmetric labium majus enlargement	—	Female Genital
N90.69	Other specified hypertrophy of vulva	Labial hypertrophy	Female Genital
N94.10	Unspecified dyspareunia	—	Female Genital
N94.11	Superficial (introital) dyspareunia	—	Female Genital
N94.12	Deep dyspareunia	—	Female Genital
N94.818	Other vulvodynia	—	Female Genital
N95.2	Postmenopausal atrophic vaginitis (GSM)	—	Female Genital
L90.0	Lichen sclerosus et atrophicus	Penile/genital LS	Skin / LS
L73.2	Hidradenitis suppurativa	—	Skin / LS
N40.0	Benign prostatic hyperplasia without LUTS	—	BPH / Prostate
N40.1	Benign prostatic hyperplasia with LUTS	—	BPH / Prostate
N40.2	Nodular prostate without LUTS	—	BPH / Prostate
N40.3	Nodular prostate with LUTS	—	BPH / Prostate
N42.81	Prostatodynia syndrome	—	BPH / Prostate
N42.82	Prostatosis syndrome	—	BPH / Prostate
N42.83	Cyst of prostate	—	BPH / Prostate
S37.20XA	Unspecified injury of bladder, initial encounter	—	Trauma
S37.30XA	Unspecified injury of urethra, initial encounter	—	Trauma
S37.32XA	Laceration of urethra, initial encounter	—	Trauma
S39.840A	Fracture of corpus cavernosum penis, initial encounter	—	Trauma
S31.30XA	Unspecified open wound of penis, initial encounter	—	Trauma
N49.3	Fournier gangrene	—	Trauma
C67.9	Malignant neoplasm of bladder, unspecified	Use when cystectomy is for cancer	Bladder Recon Indication
D09.0	Carcinoma in situ of bladder	—	Bladder Recon Indication
N32.83	Detrusor hypertrophy	—	Bladder Recon Indication
F52.22	Female sexual arousal disorder	—	Sexual Dysfunction
F52.31	Female orgasmic disorder	—	Sexual Dysfunction
F52.6	Dyspareunia not due to a substance or known physiological condition	—	Sexual Dysfunction
N94.819	Vulvodynia, unspecified	—	Sexual Dysfunction
N39.0	Urinary tract infection, site not specified	—	UTI
N30.00	Acute cystitis without hematuria	—	UTI
N30.01	Acute cystitis with hematuria	—	UTI
N30.20	Other chronic cystitis without hematuria	—	UTI
N30.21	Other chronic cystitis with hematuria	—	UTI
Z87.440	Personal history of urinary (tract) infections	Recurrent UTI history	UTI

Modifiers

Modifiers are appended to CPT codes to indicate special circumstances.

Modifier	Name	When to Use
22	Increased Procedural Services	Document complexity beyond typical; specify additional time required
50	Bilateral Procedure	Procedure performed on both sides
51	Multiple Procedures	Multiple procedures same session (typically applied automatically)
52	Reduced Services	Procedure partially reduced or a component eliminated
53	Discontinued Procedure	Procedure stopped after anesthesia due to extenuating circumstances
58	Staged / Related Procedure	Planned staged procedure or more extensive follow-up in post-op period
59	Distinct Procedural Service	Different session, site, organ, incision, lesion, or injury — document clearly
62	Co-Surgeon	Two primary surgeons performing distinct portions; each reports same CPT + 62
66	Surgical Team	Highly complex surgery requiring multiple specialties simultaneously
74	Discontinued Outpatient / ASC Procedure	Procedure aborted after anesthesia started in outpatient or ASC setting
76	Repeat Procedure — Same Physician	Same CPT, same patient, same day
77	Repeat Procedure — Different Physician	Same CPT, same patient, same day, different surgeon
78	Unplanned Return to OR	Related procedure during post-op global period
79	Unrelated Procedure in Post-op Period	Unrelated to primary procedure's post-op global
80	Assistant Surgeon	Primary surgeon bills CPT alone; assistant bills CPT + 80
82	Assistant Surgeon (No Qualified Resident)	Must justify. Primary uses CPT only; assistant uses CPT + 82
AS	PA / NP / CNS Assistant at Surgery	Reports the assist when performed by a non-physician
XE	Separate Encounter	Service distinct because it occurred during a separate encounter
XS	Separate Structure	Service distinct because performed on a separate organ or structure
XP	Separate Practitioner	Service distinct because performed by a different practitioner
XU	Unusual Non-Overlapping Service	Service does not overlap usual components of the main service
LT / RT	Left / Right Side	Designate side for unilateral procedures on paired organs

External Coding Resources

Resource	Description	Link
AMA CPT Code Lookup	Official AMA CPT code database (subscription)	ama-assn.org
CMS Physician Fee Schedule	CMS fee schedule lookup with current wRVU values	cms.gov
AAPC Coder	Comprehensive ICD-10 and CPT lookup tool	aapc.com
ICD-10-CM Browser	Official CMS ICD-10 browser	icd10data.com
NCCI Edits	CMS National Correct Coding Initiative bundling edits	cms.gov/ncci
AUA Coding Guides	AUA coding and reimbursement resources for urologists	auanet.org
AUGS Coding Resources	Urogynecology-specific coding guidance	augs.org