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October 19, 2022

Urinary retention due to benign prostatic hyperplasia, is being treated in the outpatient surgery suite

This patient, a 47-year-old male with a protracted history of urinary retention due to benign prostatic hyperplasia, is being treated in the outpatient surgery suite. The urologist inserts an endoscope in the penile urethra and dilates the structure to allow instrument passage. After endoscope placement, a radiofrequency stylet is inserted, and the diseased prostate is excised with radiant energy. Bleeding is controlled with electrocoagulation. Following instrument removal, a catheter is inserted and left in place. Which of the following ICD-10-CM and CPT codes will be reported for this service?

CPT code: _______________________

ICD-10-CM code:___________________________

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