What is a meatotomy?
This procedure is done when the opening at the end of the boy’s penis is too small or the shape of the hole distorts the urinary stream, making it difficult for him to urinate (pee). Meatotomy is the surgical opening of the hole (urethral meatus) with no stitching.
What is urethral meatotomy?
Meatotomy is the surgical opening of the hole (urethral meatus) with no stitching. This opening is called the urinary meatus, or the external urethral orifice. The word meatus means opening.
What is meatoplasty?
Meatoplasty is the surgery needed when the end of a boy infant's penis is too small, making urination (peeing) difficult. This condition, called meatal stenosis, is common and easily treated with this procedure.
How was a meatoplasty performed for the repair of a broken jaw?
However, the meatoplasty had to be performed, and incisions were made at 6 o'clock and 12 o'clock through the external auditory canal, and the cartilage posteriorly was removed. The tissue was then removed so that the skin could be flat posteriorly and admit the surgeon's thumb through the external auditory meatus.
What is a meatotomy procedure?
Meatotomy is the surgical opening of the hole (urethral meatus) with no stitching. This opening is called the urinary meatus, or the external urethral orifice. The word meatus means opening. When the meatus is too small, it's called meatal stenosis.
What is procedure code 52281?
52281: Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female)
What is the difference between meatotomy and Meatoplasty?
The meatotomy is essentially the incision and enlargement of the urinary meatus, while the meatoplasty is the remodeling of the urethral meatus.
What is the CPT code for Meatoplasty?
Answer: Report code 53450 (Urethromeatoplasty, with mucosal advancement) for both the meatotomy and the meatoplasty.
What is the CPT code 74420?
CPT® Code 74420 in section: Diagnostic Radiology (Diagnostic Imaging) Procedures of the Urinary Tract.
What is the CPT code 52287?
CPT® Code 52287 in section: Urethra and Bladder Transurethral Surgical Procedures.
What is the CPT code for infant Meatotomy?
CPT® 53020 in section: Meatotomy, cutting of meatus (separate procedure)
How much does a Meatotomy cost?
On MDsave, the cost of an Incision of Urethral Meatus (Meatotomy) is $3,169. Those on high deductible health plans or without insurance can save when they buy their procedure upfront through MDsave.
How long is meatal stenosis surgery?
A routine urine analysis will rule out urinary tract infection or diabetes as potential causes of urinary frequency. Detailed history and physical exam, include observation of micturition, confirm the diagnosis. Outpatient surgery/meatoplasty is curative. The procedure is done under a 5-10 minute anesthetic.
What is procedure code 27337?
CPT® Code 27337 in section: Excision, tumor, soft tissue of thigh or knee area, subcutaneous.
What is procedure code 42440?
CPT® Code 42440 in section: Excision Procedures on the Salivary Gland and Ducts.
What is procedure code 27347?
CPT® Code 27347 in section: Excision Procedures on the Femur (Thigh Region) and Knee Joint.
What is the CPT code for TURP?
CPT code 52601 describes a TURP procedure for removal of prostate tissue by a cystourethroscopic approach, typically to resect prostate tissue in men with urinary obstruction at the level of the prostate (although it can be used for other reasons, such as for a prostatic abscess).
How do you know if you have a narrow urethra?
Signs and symptoms of urethral stricture include: Decreased urine stream. Incomplete bladder emptying. Spraying of the urine stream.
What is included in CPT code 99395?
99395- Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years.
What is the CPT code for urinalysis?
Urinalysis, Complete With Microscopic Examination With Reflex to Urine Culture, Comprehensive. CPT: 81001.
How to diagnose meatal stenosis in a child?
They will then physically examine your child. A visual exam can allow the provider to diagnose meatal stenosis.
How long does it take for a son to recover from meatoplasty?
Recovery time is usually minimal following meatoplasty. Your son should be able to resume normal activities almost immediately after surgery.
What does it feel like to have meatal stenosis?
Spraying urine stream. Pain upon urinating. Need to urinate often. A feeling the bladder has not completely emptied. Because meatal stenosis is most often diagnosed after potty training, it’s usually the parents who notice such symptoms. If you notice any of these symptoms in your son, you should seek medical advice.
What percentage of men have meatal stenosis?
Meatal stenosis occurs in around 10% of males. It’s a common, easily treated condition that affects circumcised male infants. This is also performed on patients who have a mild form of hypospadias (a birth defect where the opening isn’t at the tip of the penis).
What is the procedure for a boy's penis?
Meatoplasty/Meatotomy. Me atoplasty is the surgery needed when the end of a boy infant's penis is too small, making urination (peeing) difficult. This condition, called meatal stenosis, is common and easily treated with this procedure. Appointments & Access.
Is it normal for a child to urinate after meatoplasty?
Most children experience minimal pain or no pain following meatoplasty. Some stinging or burning while urinating is normal. A small amount of bloody drainage is also normal. Children’s acetaminophen or ibuprofen and an antibiotic ointment/petroleum jelly is all that’s usually needed in the recovery period.
Can a meatotomy be done on an outpatient basis?
If your son has meatal stenosis, a meatotomy can be done to fix the problem. This is a simple procedure, usually performed on an outpatient basis. Some surgeries are performed in office with a topical anesthetic. For others, a general anesthetic will need to be used. Once your son is asleep, the provider passes a soft tube into the meatus to measure it, then makes a small cut to enlarge the opening.
