How To Use CPT Code 52341

CPT 52341 describes the treatment of a ureteral stricture using cystourethroscopy. 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 52341?

CPT 52341 can be used to describe the treatment of a ureteral stricture using cystourethroscopy. This code is used when a healthcare provider performs a procedure to dilate, incise, or use other methods to treat a narrowing in the ureter, using a cystoscope inserted through the urethra and into the bladder.

2. Official Description

The official description of CPT code 52341 is: ‘Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)’. This code includes various methods to treat a ureteral stricture, such as balloon dilation, laser treatment, electrocautery, and incision.

3. Procedure

1. The healthcare provider inserts a cystoscope into the urethra and 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 advances the cystoscope to the ureteral orifice and identifies the stricture.
4. Depending on the specific case, the provider may choose to dilate the stricture using a balloon catheter, use a laser or electrocautery to burn away the diseased tissue, or make an incision to open up the ureter.
5. If necessary, the provider may place a temporary catheter or stent to keep the ureter open while it heals.
6. Once the procedure is complete, the provider drains the bladder and removes the instruments.

4. Qualifying circumstances

CPT 52341 is used for patients with a ureteral stricture that requires treatment. A ureteral stricture is a narrowing of the ureter, which can cause obstruction and urinary flow problems. The procedure is performed by a healthcare provider who is trained in cystourethroscopy and has the necessary equipment to perform the treatment.

5. When to use CPT code 52341

CPT code 52341 should be used when a healthcare provider performs a cystourethroscopy procedure to treat a ureteral stricture. This code is appropriate when the provider uses methods such as balloon dilation, laser treatment, electrocautery, or incision to address the stricture. It is important to note that this code should not be used for other types of ureteral procedures or for the treatment of ureteropelvic junction strictures.

6. Documentation requirements

To support a claim for CPT 52341, the healthcare provider must document the following information:

• Patient’s diagnosis of ureteral stricture
• Specific treatment method used (balloon dilation, laser, electrocautery, incision)
• Date of the procedure
• Details of the procedure, including any complications or additional interventions
• Any temporary catheter or stent placement
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 52341, ensure that the procedure meets the criteria for a ureteral stricture treatment using cystourethroscopy. It is important to follow the specific guidelines provided by the payer regarding the use of modifiers, such as modifier 50 for bilateral procedures. It is recommended to check with the payer before billing to ensure proper reimbursement.

8. Historical information

CPT 52341 was added to the Current Procedural Terminology system on January 1, 2001. There have been no updates to the code since its addition.

9. Examples

1. A urologist performs cystourethroscopy to treat a ureteral stricture using balloon dilation.
2. A patient with a ureteral stricture undergoes cystourethroscopy with laser treatment by a urologist.
3. A healthcare provider uses cystourethroscopy to treat a ureteral stricture through electrocautery.
4. A urologist performs cystourethroscopy and makes an incision to treat a ureteral stricture.
5. A patient with a ureteral stricture undergoes cystourethroscopy with balloon dilation followed by stent placement.
6. A healthcare provider uses cystourethroscopy to treat a ureteral stricture using laser treatment and places a temporary catheter.
7. A urologist performs cystourethroscopy and uses electrocautery to treat a ureteral stricture.
8. A patient with a ureteral stricture undergoes cystourethroscopy with incision and stent placement.
9. A healthcare provider uses cystourethroscopy to treat a ureteral stricture using balloon dilation and laser treatment.
10. A urologist performs cystourethroscopy and makes an incision followed by balloon dilation to treat a ureteral stricture.