How To Use CPT Code 52001

CPT 52001 describes the procedure of cystourethroscopy with irrigation and evacuation of multiple obstructing clots. 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 52001?

CPT 52001 can be used to describe the procedure of cystourethroscopy with irrigation and evacuation of multiple obstructing clots. This code is used when a healthcare provider performs an examination of the interior of the bladder, urethra, and ureteric openings using a cystourethroscope, and then uses a suction and irrigation probe to remove multiple obstructing clots.

2. Official Description

The official description of CPT code 52001 is: ‘Cystourethroscopy with irrigation and evacuation of multiple obstructing clots.’

3. Procedure

1. The healthcare provider inserts a cystourethroscope through the meatus, into the urethra, and then the bladder.
2. Any residual urine is removed using a syringe.
3. The provider examines the interior of the bladder, urethra, and ureteric openings for any abnormalities.
4. An irrigation and suction probe is inserted through the cystourethroscope to evacuate multiple obstructing clots found in the urinary tract.
5. The area is irrigated to ensure proper cleansing.
6. Once the procedure is complete, the provider removes the cystourethroscope and the probe.

4. Qualifying circumstances

CPT 52001 is performed when a patient has multiple obstructing clots in their urinary tract that need to be removed. It is important to note that CPT 52001 should not be reported in conjunction with CPT 52000.

5. When to use CPT code 52001

CPT code 52001 should be used when a healthcare provider performs cystourethroscopy with irrigation and evacuation of multiple obstructing clots. It is important to ensure that the procedure meets the specific criteria outlined in the official description.

6. Documentation requirements

To support a claim for CPT 52001, the healthcare provider must document the following information:

• Patient’s medical history and the need for the procedure
• Details of the cystourethroscopy procedure, including the use of a cystourethroscope and an irrigation and suction probe
• Date and duration of the procedure
• Findings during the examination, including any abnormalities or multiple obstructing clots
• Details of the irrigation and evacuation process
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 52001, ensure that the procedure meets the specific criteria outlined in the official description. It is important to follow the guidelines and not report CPT 52001 in conjunction with CPT 52000. Review the documentation requirements and ensure that all necessary information is included in the claim.

8. Historical information

CPT 52001 was added to the Current Procedural Terminology system on January 1, 2002. There have been no updates or changes to the code since its addition.

9. Examples

1. A urologist performing cystourethroscopy with irrigation and evacuation of multiple obstructing clots for a patient with a history of recurrent urinary tract infections.
2. A nephrologist conducting cystourethroscopy with irrigation and evacuation of multiple obstructing clots for a patient with a history of kidney stones.
3. An urogynecologist performing cystourethroscopy with irrigation and evacuation of multiple obstructing clots for a patient with urinary incontinence.
4. A general surgeon conducting cystourethroscopy with irrigation and evacuation of multiple obstructing clots for a patient with bladder cancer.
5. An interventional radiologist performing cystourethroscopy with irrigation and evacuation of multiple obstructing clots for a patient with hematuria.
6. A pediatric urologist conducting cystourethroscopy with irrigation and evacuation of multiple obstructing clots for a child with a congenital urinary tract abnormality.
7. An oncologist performing cystourethroscopy with irrigation and evacuation of multiple obstructing clots for a patient undergoing chemotherapy.
8. A gynecologist conducting cystourethroscopy with irrigation and evacuation of multiple obstructing clots for a patient with pelvic organ prolapse.
9. An emergency medicine physician performing cystourethroscopy with irrigation and evacuation of multiple obstructing clots for a patient with acute urinary retention.
10. A family medicine physician conducting cystourethroscopy with irrigation and evacuation of multiple obstructing clots for a patient with a urinary tract infection.