How To Use CPT Code 51728

CPT 51728 describes the procedure known as complex cystometrogram with voiding pressure studies. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 51728?

CPT 51728 can be used to describe the complex cystometrogram procedure with voiding pressure studies. This code is used when a healthcare provider performs a graphical recording of urinary bladder pressure with different volumes of urine in the bladder. The provider also measures the bladder pressure while the patient is voiding to determine if there is any obstruction in the bladder.

2. Official Description

The official description of CPT code 51728 is: ‘Complex cystometrogram (i.e., calibrated electronic equipment); with voiding pressure studies (i.e., bladder voiding pressure), any technique.’

3. Procedure

1. The healthcare provider performs a complex cystometrogram using calibrated electronic equipment.
2. A transurethral catheter is used to fill the bladder with sterile water.
3. The provider records the bladder pressure to determine if there are any spontaneous contractions or bladder spasms.
4. A voiding pressure study is performed where the provider measures the bladder pressure while the patient is voiding.
5. Any drop in voiding pressure indicates an obstruction in the bladder.

4. Qualifying circumstances

Patients who may require CPT 51728 are those with urinary disorders such as overactive bladder, stress incontinence, or urinary obstruction. The procedure is performed by a healthcare provider using calibrated electronic equipment. The provider uses a transurethral catheter to fill the bladder with sterile water and measures the bladder pressure during voiding.

5. When to use CPT code 51728

CPT code 51728 should be used when a healthcare provider performs a complex cystometrogram with voiding pressure studies. This code is appropriate when the provider uses calibrated electronic equipment and measures the bladder pressure during voiding. It should not be used for other types of cystometrograms or voiding studies.

6. Documentation requirements

To support a claim for CPT 51728, the healthcare provider must document the following information:

• Reason for performing the complex cystometrogram with voiding pressure studies
• Details of the procedure, including the use of calibrated electronic equipment and transurethral catheter
• Date and time of the procedure
• Results of the bladder pressure measurements during filling and voiding
• Any findings of bladder spasms or obstruction
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 51728, ensure that the procedure is performed using calibrated electronic equipment and includes voiding pressure studies. It should not be reported with other codes unless additional procedures or services are performed. It is important to follow the specific guidelines provided by the payer to ensure accurate billing and reimbursement.

8. Historical information

CPT 51728 was added to the Current Procedural Terminology system on January 1, 2010. There have been no updates to the code since its addition.

9. Examples

1. A urologist performs a complex cystometrogram with voiding pressure studies to diagnose an overactive bladder in a patient.
2. A gynecologist uses calibrated electronic equipment to measure bladder pressure during voiding to assess for stress incontinence in a patient.
3. A urologist performs a complex cystometrogram with voiding pressure studies to evaluate a patient with suspected urinary obstruction.
4. A urogynecologist uses a transurethral catheter and calibrated electronic equipment to measure bladder pressure during voiding to assess for urinary dysfunction in a patient.
5. A urologist performs a complex cystometrogram with voiding pressure studies to monitor the effectiveness of treatment for a patient with a history of bladder spasms.
6. A urogynecologist uses calibrated electronic equipment to measure bladder pressure during voiding to assess the impact of pelvic floor exercises on bladder function in a patient.
7. A urologist performs a complex cystometrogram with voiding pressure studies to evaluate a patient with recurrent urinary tract infections.
8. A urogynecologist uses a transurethral catheter and calibrated electronic equipment to measure bladder pressure during voiding to assess the impact of medication on bladder function in a patient.
9. A urologist performs a complex cystometrogram with voiding pressure studies to assess the effectiveness of bladder training in a patient with overactive bladder.
10. A urogynecologist uses calibrated electronic equipment to measure bladder pressure during voiding to evaluate the impact of lifestyle modifications on bladder function in a patient.