How To Use CPT Code 51102

CPT 51102 describes the procedure of aspiration of the bladder with the insertion of a suprapubic catheter. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 51102?

CPT 51102 can be used to describe the procedure of aspiration of the bladder with the insertion of a suprapubic catheter. This code is used when a healthcare provider creates a connection between the urinary bladder and the skin using a catheter, allowing the patient to pass urine.

2. Official Description

The official description of CPT code 51102 is: ‘Aspiration of bladder; with insertion of suprapubic catheter.’

3. Procedure

1. The healthcare provider locates the bladder above the symphysis pubis and sterilizes the area.
2. A local anesthetic is injected 2 cm above the symphysis pubis to numb the area.
3. The provider uses a 22-gauge needle attached to a syringe to insert the needle over the lower abdomen until urine appears in the syringe.
4. After obtaining the urine, a guidewire is inserted, and a scalpel is used to make an incision near the guidewire.
5. A suprapubic catheter is then inserted over the guidewire, and the wire is removed.
6. The urine in the bladder is aspirated through the suprapubic catheter.
7. Finally, the incision is sutured by the healthcare provider.

4. Qualifying circumstances

CPT 51102 is performed when there is a need to create a connection between the urinary bladder and the skin using a suprapubic catheter. This procedure is typically done when there is an obstruction or abnormality in urinary flow, such as in cases of BPH, kidney stones, cancer, or congenital defects.

5. When to use CPT code 51102

CPT code 51102 should be used when a healthcare provider performs the aspiration of the bladder with the insertion of a suprapubic catheter. It is important to note that this code should not be used for other types of bladder aspiration procedures.

6. Documentation requirements

To support a claim for CPT 51102, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for the procedure
• Details of the procedure, including the use of a suprapubic catheter
• Date and time of the procedure
• Any complications or additional procedures performed
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 51102, ensure that the procedure is performed by a qualified healthcare provider and that the documentation requirements are met. It is important to follow the specific guidelines provided by the payer to ensure accurate billing and reimbursement.

8. Historical information

CPT 51102 was added to the Current Procedural Terminology system on January 1, 2008. There have been no updates to the code since its addition.

9. Examples

1. A urologist performing the aspiration of the bladder with the insertion of a suprapubic catheter for a patient with bladder obstruction.
2. A healthcare provider performing the procedure for a patient with kidney stones causing urinary flow obstruction.
3. A surgeon performing the aspiration of the bladder with the insertion of a suprapubic catheter for a patient with bladder cancer.
4. A urologist performing the procedure for a patient with congenital defects affecting urinary flow.
5. A healthcare provider performing the aspiration of the bladder with the insertion of a suprapubic catheter for a patient with BPH.
6. A surgeon performing the procedure for a patient with urinary retention due to an abnormality in urinary flow.
7. A urologist performing the aspiration of the bladder with the insertion of a suprapubic catheter for a patient with recurrent urinary tract infections.
8. A healthcare provider performing the procedure for a patient with neurogenic bladder dysfunction.
9. A surgeon performing the aspiration of the bladder with the insertion of a suprapubic catheter for a patient with bladder trauma.
10. A urologist performing the procedure for a patient with urinary incontinence requiring long-term catheterization.