How To Use CPT Code 52007

CPT code 52007 describes a specific procedure used in endoscopy-cystoscopy, urethroscopy, and cystourethroscopy on the bladder. This article will cover the description, official details, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 52007?

CPT 52007 is a code that represents a particular procedure used in endoscopy-cystoscopy, urethroscopy, and cystourethroscopy on the bladder. This code is used to identify the specific service provided during these procedures.

2. Official Description

The official description of CPT code 52007 is: ‘Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis.’

3. Procedure

1. During the procedure, a cystoscope is inserted through the urethra and into the bladder to examine the interior of these structures.
2. A guidewire is then passed through the scope into the ureter or renal pelvis.
3. A brush, attached to a hollow tube, is guided through the scope and positioned in the ureter or renal pelvis.
4. The brush is moved around to collect cell samples from the lining of these structures.
5. If necessary, the provider may also perform irrigation, instillation of fluids, or ureteropyelography to facilitate visualization or radiological study of the ureteric and renal pelvic structures.

4. Qualifying circumstances

CPT 52007 is used when a cystourethroscopy procedure is performed, with or without irrigation, instillation, or ureteropyelography, and includes a brush biopsy of the ureter and/or renal pelvis. This code is exclusive of radiologic services, which should be reported separately if performed.

5. When to use CPT code 52007

CPT code 52007 should be used when the specific procedure described in the official description is performed. It is important to ensure that the procedure includes ureteral catheterization, brush biopsy of the ureter and/or renal pelvis, and may or may not involve irrigation, instillation, or ureteropyelography. If the procedure does not meet these criteria, a different code should be used to accurately represent the service provided.

6. Documentation requirements

To support a claim for CPT code 52007, the following documentation should be included:

• Indication of the need for the procedure
• Details of the specific procedure performed, including ureteral catheterization, brush biopsy, and any additional services such as irrigation or instillation
• Date and duration of the procedure
• Findings or results of the procedure
• Any complications or adverse events that occurred
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 52007, it is important to ensure that the procedure performed meets the criteria described in the official description. This includes the specific components of the procedure, such as ureteral catheterization and brush biopsy. If radiologic services are also performed, they should be reported separately. It is important to follow any additional guidelines or requirements set forth by the payer or coding guidelines.

8. Historical information

CPT code 52007 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A urologist performs a cystourethroscopy procedure on a patient, including ureteral catheterization, brush biopsy of the ureter, and irrigation of the bladder.
2. A patient undergoes a cystourethroscopy procedure with ureteral catheterization and brush biopsy of the renal pelvis, performed by a urologist.
3. A cystourethroscopy procedure is performed on a patient, including ureteral catheterization, brush biopsy of the ureter and renal pelvis, and ureteropyelography, by a urologist.
4. A urologist performs a cystourethroscopy procedure on a patient, including ureteral catheterization, brush biopsy of the renal pelvis, and instillation of fluids into the bladder.
5. A patient undergoes a cystourethroscopy procedure with ureteral catheterization and brush biopsy of the ureter, performed by a urologist.
6. A cystourethroscopy procedure is performed on a patient, including ureteral catheterization, brush biopsy of the ureter and renal pelvis, and irrigation of the bladder, by a urologist.
7. A urologist performs a cystourethroscopy procedure on a patient, including ureteral catheterization, brush biopsy of the renal pelvis, and ureteropyelography.
8. A patient undergoes a cystourethroscopy procedure with ureteral catheterization and brush biopsy of the ureter, performed by a urologist.
9. A cystourethroscopy procedure is performed on a patient, including ureteral catheterization, brush biopsy of the ureter and renal pelvis, and instillation of fluids into the bladder, by a urologist.
10. A urologist performs a cystourethroscopy procedure on a patient, including ureteral catheterization, brush biopsy of the renal pelvis, and irrigation of the bladder.