How To Use CPT Code 52330

CPT 52330 describes the procedure of cystourethroscopy with manipulation, without removal of ureteral calculus. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 52330?

CPT 52330 can be used to describe the procedure of cystourethroscopy with manipulation, without removal of ureteral calculus. This code is used when a healthcare provider performs a cystourethroscopy to inspect the interior of the bladder, urethra, prostatic urethra, and ureteric openings using a cystoscope. During the procedure, the provider also inserts a catheter into the ureter and manipulates a stone, but does not remove it from the ureter.

2. Official Description

The official description of CPT code 52330 is: ‘Cystourethroscopy (including ureteral catheterization); with manipulation, without 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 uses a grasping instrument through the cystoscope to manipulate the stone, repositioning it to potentially facilitate its passage or reduce obstruction.
5. After completing the procedure, the provider reinspects the bladder, drains it, and removes the cystoscope and any other instruments used.

4. Qualifying circumstances

CPT 52330 is performed on patients who require cystourethroscopy with manipulation of a ureteral calculus. The procedure is typically performed by a healthcare provider who specializes in urology. It is important to note that CPT 52330 should not be reported in conjunction with CPT codes 52320, 52325, 52327, or 52000.

5. When to use CPT code 52330

CPT code 52330 should be used when a healthcare provider performs cystourethroscopy with manipulation, without removal of a ureteral calculus. It is important to accurately document the procedure performed to ensure appropriate coding and billing.

6. Documentation requirements

To support a claim for CPT 52330, the healthcare provider must document the following information:

• Patient’s diagnosis necessitating the cystourethroscopy
• Details of the procedure performed, including the manipulation of the ureteral calculus
• Date of the procedure
• Start and end time of the procedure
• Any complications or additional interventions
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 52330, ensure that the procedure performed aligns with the description of the code. It is important to follow the specific guidelines provided by the payer to ensure accurate reimbursement. Additionally, be aware of any bundling or unbundling rules that may apply to the procedure.

8. Historical information

CPT 52330 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 cystourethroscopy with manipulation of a ureteral calculus for a patient with recurrent kidney stones.
2. A healthcare provider uses cystourethroscopy to manipulate a ureteral calculus in a patient with urinary obstruction.
3. A urologist performs cystourethroscopy with manipulation of a ureteral calculus to facilitate its passage in a patient with ureteral colic.
4. A healthcare provider performs cystourethroscopy with manipulation of a ureteral calculus in a patient with hydronephrosis.
5. A urologist uses cystourethroscopy to manipulate a ureteral calculus in a patient with hematuria.
6. A healthcare provider performs cystourethroscopy with manipulation of a ureteral calculus in a patient with urinary tract infection.
7. A urologist uses cystourethroscopy to manipulate a ureteral calculus in a patient with flank pain.
8. A healthcare provider performs cystourethroscopy with manipulation of a ureteral calculus in a patient with urinary incontinence.
9. A urologist uses cystourethroscopy to manipulate a ureteral calculus in a patient with ureteral stricture.
10. A healthcare provider performs cystourethroscopy with manipulation of a ureteral calculus in a patient with bladder outlet obstruction.