How To Use CPT Code 0619T

CPT 0619T describes a specific procedure performed on the prostate to treat benign prostatic hyperplasia (BPH). This article will cover the official description, procedure details, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0619T?

CPT 0619T is a code used to describe a procedure performed on the prostate to address benign prostatic hyperplasia (BPH). This code is used when the provider performs a cystourethroscopy, which involves examining the bladder and urethra using a cystourethroscope. During the procedure, the provider makes an incision in the anterior prostate at the bladder neck (commissurotomy) and delivers a drug to help treat BPH.

2. Official Description

The official description of CPT code 0619T is: ‘Cystourethroscopy with transurethral anterior prostate commissurotomy and drug delivery, including transrectal ultrasound and fluoroscopy, when performed.’ It is important to note that this code should not be reported in conjunction with specific other codes listed in the notes section.

3. Procedure

1. During the procedure, the provider inserts a cystourethroscope through the external opening of the urethra, after the patient is appropriately prepped and anesthetized.
2. The provider examines the urethra and bladder, and may inject sterile saline water into the bladder to improve visibility.
3. Using ultrasound or fluoroscopic guidance, the provider makes a small incision in the capsule of the prostate at the junction of the prostate and bladder (anterior prostatic commissure).
4. This incision helps relax the prostate and improve urination.
5. The provider then delivers a drug into the prostate to aid in the treatment of BPH.
6. After completing the procedure, the provider removes the cystoscope and may leave an indwelling catheter in the patient’s urethra to assist with voiding during the healing process.

4. Qualifying circumstances

CPT 0619T is performed on patients with benign prostatic hyperplasia (BPH). The procedure is intended to alleviate symptoms associated with BPH and improve urinary flow. It is important to note that this code should not be reported with specific other codes listed in the notes section.

5. When to use CPT code 0619T

CPT code 0619T should be used when a provider performs a cystourethroscopy with transurethral anterior prostate commissurotomy and drug delivery for the treatment of BPH. It is important to review the notes section to ensure that this code is not reported in conjunction with specific other codes.

6. Documentation requirements

To support a claim for CPT code 0619T, the provider must document the following information:

• Patient’s diagnosis of benign prostatic hyperplasia (BPH)
• Details of the procedure performed, including cystourethroscopy, transurethral anterior prostate commissurotomy, and drug delivery
• Date of the procedure
• Use of transrectal ultrasound and fluoroscopy, if applicable
• Any additional relevant information or findings during the procedure

7. Billing guidelines

When billing for CPT code 0619T, ensure that the procedure is performed as described in the official description. Review the notes section to avoid reporting this code in conjunction with specific other codes. It is important to follow payer guidelines and seek clarification if necessary.

8. Historical information

CPT code 0619T was added to the Current Procedural Terminology system on July 1, 2020. There have been no updates or changes to the code since its addition.

9. Examples

1. A provider performs a cystourethroscopy with transurethral anterior prostate commissurotomy and drug delivery for a patient with benign prostatic hyperplasia (BPH).
2. During the procedure, the provider uses transrectal ultrasound and fluoroscopy to guide the incision in the anterior prostate.
3. A patient with BPH undergoes a cystourethroscopy with transurethral anterior prostate commissurotomy and drug delivery to alleviate urinary symptoms.
4. The provider delivers a drug into the prostate during the procedure to help treat the patient’s BPH.
5. A cystourethroscopy with transurethral anterior prostate commissurotomy and drug delivery is performed on a patient with BPH, using ultrasound guidance to ensure accuracy.
6. For a patient with BPH, the provider performs a cystourethroscopy with transurethral anterior prostate commissurotomy and drug delivery, utilizing fluoroscopy to aid in the procedure.
7. A provider performs a cystourethroscopy with transurethral anterior prostate commissurotomy and drug delivery for a patient with symptomatic BPH.
8. During the procedure, the provider makes an incision in the anterior prostate at the bladder neck to improve urinary flow in a patient with BPH.
9. A patient with BPH undergoes a cystourethroscopy with transurethral anterior prostate commissurotomy and drug delivery to address urinary obstruction.
10. The provider performs a cystourethroscopy with transurethral anterior prostate commissurotomy and drug delivery for a patient with BPH, delivering a drug to aid in the treatment of the condition.