cpt 52000, cpt code 52000, 52000 cpt code

CPT Code 52000 | Cystourethroscopy (Separate Procedure)

The 52000 CPT code can be billed for examination of the patient’s bladder interior, urethra, and ureteric openings with a cystourethroscope.

1. What Is CPT Code 52000?

CPT 52000 covers a procedure in which a provider uses a cystourethroscope to examine the patient’s;

  • bladder interior;
  • ureteric openings; and
  • urethra.

A cystourethroscope is a tube (rigid or flexible) with a camera at the tip.

2. Description

The CPT book defines CPT code 52000 as: “Cystourethroscopy (separate procedure).”

3. Procedure

The cystourethroscopy procedure is a diagnostic procedure used to examine the interior of the bladder, the urethra, and the ureteric openings. A urologist or a urologic surgeon typically performs the procedure.

The procedure is performed using a cystourethroscope, a thin, flexible or rigid tube with a camera on one end. The camera allows the provider to view the interior of the structures and identify any abnormalities.

Before the procedure, the patient is typically prepped by cleaning the genital area and given anesthetics to reduce pain and discomfort.

The provider then inserts the scope through the urethra into the bladder and examines the interior of the structures. The procedure is relatively quick and usually takes around 15-30 minutes.

Once the procedure is complete, the provider removes the scope, and the patient can recover for a short time. The provider will review the images taken during the procedure and discuss the findings with the patient.

Cystourethroscopy is a standard diagnostic procedure that is used to diagnose a variety of conditions, including urinary tract infections, and stress incontinence, and to monitor treatment for bladder cancer.

The procedure is considered safe, and complications are rare. However, as with any medical procedure, there is a small risk of complications such as bleeding, infection, or damage to the urethra.

4. How To Use CPT Code 52000

CPT code 52000 is often used as a diagnostic procedure for stress incontinence or urinary tract infections.

You can not report the 52000 CPT code in combination with the following CPT codes;

  • CPT 57265;
  • CPT 57260;
  • CPT 57240;
  • CPT 52356;
  • CPT 52343;
  • CPT 52342;
  • CPT 52342;
  • CPT 52341;
  • CPT 52334;
  • CPT 52332;
  • CPT 52330;
  • CPT 52327;
  • CPT 52325;
  • CPT 52320; or
  • CPT 52001.

4.1 Does CPT Code 52000 Need A Modifier?

The description of CPT code 52000 shows that it is a separate procedure. Therefore, it can not be reported separately with a related procedure if performed in an anatomically related region and through the same incision in the skin.

CPT code 52000 can be reported with modifier 59 if an unrelated procedure is performed during the procedure.

5. Resources

CPT Professional 2022

https://www.aapc.com/codes/coding-newsletters/my-urology-coding-alert/cpt-coding-master-cystourethroscopy-coding-with-these-case-studies-164445-article

https://www.cms.gov/Research-Statistics-Data-and-Systems/Research/MedicareMedicaidStatSupp/Downloads/Statistical_Supplement_2003_Table70pdf.pdf

https://www.utmedicalcenter.org/medical-care/medical-services/procedures-treatments/cystourethroscopy/

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