How To Use CPT Code 52320

CPT 52320 describes the procedure of cystourethroscopy with the removal of a ureteral calculus. This article will cover the official description, procedure details, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 52320?

CPT 52320 can be used to describe the procedure of cystourethroscopy with the removal of a ureteral calculus. This code is used when a healthcare provider performs an inspection of the bladder, urethra, prostatic urethra, and ureteric openings using a cystoscope. The provider also inserts a catheter into the ureter and removes a stone from it.

2. Official Description

The official description of CPT code 52320 is: ‘Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus.’

3. Procedure

1. The healthcare provider inserts a cystoscope into the urethra and slowly advances it into the bladder.
2. The provider examines the urethra and injects sterile saline water into the bladder to improve the view of the bladder wall.
3. The provider then advances the tip of the catheter into each ureteral orifice.
4. If a calculus (stone) is observed at the ureteral orifice, the provider inserts a grasping instrument through the cystoscope and removes the stone.
5. After the procedure is complete, the provider drains the bladder and removes the cystoscope and any other instruments used.

4. Qualifying circumstances

CPT 52320 is performed on patients who have a ureteral calculus that requires removal. The procedure involves the use of a cystoscope and catheter to access the ureter and remove the stone. It is important to note that this procedure is specific to the ureter and not other parts of the urinary tract.

5. When to use CPT code 52320

CPT code 52320 should be used when a healthcare provider performs cystourethroscopy with the specific purpose of removing a ureteral calculus. It is important to accurately document the removal of the stone during the procedure.

6. Documentation requirements

To support a claim for CPT 52320, the healthcare provider must document the following information:

• Patient’s diagnosis indicating the presence of a ureteral calculus
• Details of the cystourethroscopy procedure, including the use of a cystoscope and catheter
• Date and duration of the procedure
• Specific details of the removal of the ureteral calculus
• Any additional procedures performed during the same session
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 52320, ensure that the procedure involves the removal of a ureteral calculus using cystourethroscopy. It is important to follow the specific guidelines for reporting this code and any associated modifiers. Additionally, it is recommended to check with the payer for any specific requirements or restrictions.

8. Historical information

CPT 52320 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 performing cystourethroscopy with the removal of a ureteral calculus for a patient with recurrent kidney stones.
2. A surgeon using cystourethroscopy to remove a ureteral calculus in a patient with urinary tract obstruction.
3. An interventional radiologist performing cystourethroscopy to remove a ureteral calculus in a patient with hydronephrosis.
4. A urology resident assisting in the removal of a ureteral calculus during a cystourethroscopy procedure.
5. A nephrologist using cystourethroscopy to remove a ureteral calculus in a patient with chronic kidney disease.
6. A urology nurse assisting in the insertion of a catheter during a cystourethroscopy procedure for a patient with a ureteral calculus.
7. A urology technician preparing the cystoscope and other instruments for a cystourethroscopy procedure to remove a ureteral calculus.
8. A urology clinic scheduling a cystourethroscopy procedure for a patient with a known ureteral calculus.
9. A urology billing specialist ensuring accurate coding and documentation for a cystourethroscopy procedure with the removal of a ureteral calculus.
10. A urology practice manager reviewing the reimbursement rates for cystourethroscopy procedures with the removal of ureteral calculi.