Although the descriptor of a CPT code may seem to describe a particular procedure, it is important to fully understand the appropriate use of CPT codes. You may, however, use the code for deep foreign body removal from the foot (28192) or the code for complicated foreign body removal from the foot (28193) as appropriate (Table 1). For coding purposes, an ileal conduit and neobladder is considered the urinary bladder. Thank you for choosing Find-A-Code, please Sign In to remove ads. There are unique CPT® codes used for billing the placement, removal and exchange of ureteral catheters and stents. This code description may also have, ICD-9 & ICD-10 Cross-A-Code™ (GEMs & RMs), reverse_index/reverse_index_content.php?set=ICD9V3&c=98.19, dictionaries/dictionary_content.php?set=ICD9V3&c=98.19, drg/drg_content_icd9.php?set=ICD9V3&c=98.19, commercial-payers/commercial-payers-content.php?set=ICD9V3&c=98.19, NPI Look-Up Tool (National Provider Identifier). Note: Stent removal (such as CPT 52310) and stent placement (CPT 52332) are cannot be reported at the same setting and in the case of removal and replacement of an indwelling ureteral stent, only CPT 52332 Cystourethroscopy, with insertion of indwelling ureteral stent (e.g., Gibbons or double-J type) should be reported. Temporary indwelling ureteral stents are often placed after endourologic procedures, which are then removed at a later date. As she stated, 52310 and 52315 are cystoscoopic codes and are therefore inaccurate since your doctor performed an open procedure. CPT code 52310 is also the code used for simple removal of bladder stones or a bladder foreign body. Q How do you code for percutaneous cystolithotomy, removal of multiple bladder stones via a suprapubic tract? All I have is 51702. If this is your first visit, be sure to check out the. You are using an out of date browser. The code requires and includes performing a complete cystoscopy (CPT 52000), which cannot be billed separately, and therefore documentation should include the results of an examination of the urethra (such as for strictures), the prostate (in men) and the bladder (such as for mucosal lesions, neoplasms or stones). Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account. Documentation should include the need to perform “twisting/torquing movement to try and dislodge some of the encrusted material from the stent” to qualify for CPT 52315. CPT codes 50386 and 50385 are a codes that are mostly typically billed by an interventional radiologist or an urologist with access to an interventional radiology-type suite. Personally, I'm not crazy about 54440 either because there is no mention that the penis was injured. CPT code 52315 specifically describes the complex removal of an encrusted stent. Similarly, the provider may “Re-grasp the stent as often as necessary to try and remove the visible stone material, with the goal of atraumatically removing the stent intact from the ureter. ... (Table 1). Although the descriptor of a CPT code may seem to describe a particular procedure, it is important to fully understand the appropriate use of CPT codes. Just my opinion though. View historical information about the code including when it was added, changed, deleted, etc. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. CPT codes 50386 and 50385 should not be reported without the use of anesthesia and imaging in a dedicated interventional-type suite. For a better experience, please enable JavaScript in your browser before proceeding. The above description is abbreviated. In this instance if a patient has a stent removed by a non-billing provider, then no bill should be submitted. I would go with 54440 plastic operation of penis for injury because this code is paid on a case by case basis. If there are questions, consult the AUA Coding Hotline. You must log in or register to reply here. There is apparently a knot in the tubing at the level of the proximal pendulous urethra. The work includes anesthesia and fluoroscopy. 52310 and 52315 would not be approrpriate because these codes use the cystourethroscope to retrive the foreign body. These codes are appropriate to use only when the procedure is performed via a transurethral approach, without the use of cystoscopy. It may not display this or other websites correctly. A Based on your question, we are going to assume you are using a cystoscope that is inserted through an established suprapubic tract to locate and remove the stones. Keep your critical coding and billing tools with you no matter where you work. Beware of outside advice on the use of CPT codes as sometimes the advice may not be completely appropriate. This procedure can be performed in the office, ambulatory surgical or hospital setting. If appropriate, insert a urinary catheter for postoperative drainage.”  Due to this wording, CPT code 52310 would be billed once even for bilateral ureteral stent removal, and no modifier should be used in an attempt to bypass the edit.

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