cpt 52000, cpt code 52000, 52000 cpt code

CPT Code 52000 | Description, Procedure & Billing Guidelines (2022)

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 52000 CPT code procedure starts with prepping and anesthetizing the patient. Then, the provider uses the cystourethroscope and enters the bladder through the urethra for examination.

They examine the internal structures of the bladders and look for abnormalities. Finally, the provider removes the cystourethroscope and ends the procedure.

4. Billing Guidelines

CPT code 52000 is often used as a diagnostic procedure for conditions like 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.

But CPT code 52000 can be reported with modifier 59 in an unrelated procedure that was performed during this 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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