How To Use CPT Code 0596T

CPT 0596T describes the initial insertion of a temporary female intraurethral valve-pump, also known as a voiding prosthesis. This article will cover the description, official details, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of CPT code 0596T.

1. What is CPT Code 0596T?

CPT 0596T can be used to report the initial insertion of a temporary female intraurethral valve-pump, which is also referred to as a voiding prosthesis. This code is utilized when a healthcare provider measures the length of the patient’s urethra and inserts the valve-pump for the first time. The purpose of this procedure is to assist female patients with impaired detrusor contractility in emptying their bladders effectively.

2. Official Description

The official description of CPT code 0596T is: ‘Temporary female intraurethral valve-pump (i.e., voiding prosthesis); initial insertion, including urethral measurement.’

3. Procedure

1. The healthcare provider begins by measuring the length of the patient’s urethra using a sound.
2. Topical anesthetic and lubricating gel are applied to the patient’s urethra.
3. The provider inserts the silicone sleeve containing the valve-pump through the patient’s urethra using a proprietary introducer, ensuring that the tip reaches the bladder.
4. Once the sleeve is in place, the provider removes the introducer, leaving the silicone sleeve with the valve-pump inside the patient’s urethra.
5. To empty the bladder, the patient activates the device by pressing the “on” button on the external control device, which magnetically activates the valve-pump and allows urine to flow out at a normal rate.
6. The patient must hold the activator near the pubic area until the pump stops and the valve closes, indicated by a change in LED light color.
7. The device needs to be replaced every 29 days or sooner if necessary.

4. Qualifying circumstances

CPT 0596T is applicable to female patients who have impaired detrusor contractility and require assistance in emptying their bladders. The procedure involves the initial insertion of a temporary intraurethral valve-pump. The provider must measure the length of the patient’s urethra and determine the appropriateness of the voiding prosthesis for the individual patient.

5. When to use CPT code 0596T

CPT code 0596T should be used when a healthcare provider performs the initial insertion of a temporary female intraurethral valve-pump. This code is not appropriate for subsequent insertions or removals of the device. It is essential to ensure that the procedure meets the specific criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT code 0596T, the healthcare provider must document the following information:

• Patient’s diagnosis indicating impaired detrusor contractility
• Measurement of the patient’s urethra
• Date and details of the initial insertion procedure
• Specific details of the valve-pump used
• Instructions provided to the patient regarding device activation and usage
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT code 0596T, ensure that the procedure meets the criteria outlined in the code description. It is important to note that this code is temporary and may be considered investigational or not yet approved by the FDA. Therefore, it is advisable to seek guidance from the payer regarding coverage. Additionally, if the voiding prosthesis requires removal, a separate code (0597T) should be used.

8. Historical information

CPT code 0596T was added to the Current Procedural Terminology system on July 1, 2020. As a relatively new code, there have been no updates or changes since its addition.

9. Examples

1. A healthcare provider measures the length of a female patient’s urethra and inserts a temporary intraurethral valve-pump to assist with bladder emptying.
2. Using a proprietary introducer, a provider inserts a voiding prosthesis into the urethra of a female patient with impaired detrusor contractility.
3. A healthcare professional performs the initial insertion of a temporary female intraurethral valve-pump, allowing a patient to control the emptying of her bladder.
4. For a female patient with impaired detrusor contractility, a provider measures the urethra and inserts a voiding prosthesis to facilitate bladder emptying.
5. Using a sound, a healthcare provider measures the length of a female patient’s urethra and subsequently inserts a temporary intraurethral valve-pump.
6. A voiding prosthesis is inserted into the urethra of a female patient with impaired detrusor contractility, enabling controlled bladder emptying.
7. With the aid of a proprietary introducer, a healthcare professional inserts a temporary female intraurethral valve-pump, allowing a patient to effectively empty her bladder.
8. For a female patient with impaired detrusor contractility, a provider performs the initial insertion of a voiding prosthesis to facilitate bladder emptying.
9. A healthcare provider measures the length of a female patient’s urethra and subsequently inserts a temporary intraurethral valve-pump, enabling controlled bladder emptying.
10. Using a sound, a provider measures the urethra of a female patient and performs the initial insertion of a voiding prosthesis to assist with bladder emptying.