How To Use CPT Code 52343

CPT 52343 describes the treatment of intra-renal 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 52343?

CPT 52343 can be used to describe the treatment of intra-renal stricture using cystourethroscopy. This code is used when a healthcare provider performs a procedure to treat a narrowing within the intrarenal structures using various methods such as balloon dilation, laser, electrocautery, or incision.

2. Official Description

The official description of CPT code 52343 is: ‘Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision).’ It is important to note that this code should not be reported in conjunction with codes 52341 and 52342, and should not be used with code 52000 or 52351.

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 continues to advance the cystoscope into the ureters and up into the renal pelvis.
4. Once a stricture is identified within the intrarenal structures, the provider selects the appropriate method for treatment.
5. The provider may use a balloon dilator, laser, electrocautery, or cutting instrument inserted through the cystoscope to treat the stricture and increase the diameter of the duct.
6. After the procedure is complete, the provider removes the cystoscope and other instruments and drains the bladder.

4. Qualifying circumstances

CPT 52343 is used for the treatment of intra-renal strictures. This procedure is performed on patients who have a narrowing within the intrarenal structures. It is important to note that this code should not be reported with certain other codes, such as 52000 and 52351.

5. When to use CPT code 52343

CPT code 52343 should be used when a healthcare provider performs a cystourethroscopy procedure to treat an intra-renal stricture. It is important to ensure that the procedure meets the specific criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT 52343, the healthcare provider must document the following information:

• Diagnosis of intra-renal stricture
• Specific method used for treatment (balloon dilation, laser, electrocautery, incision)
• Date of the procedure
• Details of the procedure, including any complications or additional interventions
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 52343, ensure that the procedure meets the specific criteria outlined in the code description. It is important to follow the guidelines and not report this code in conjunction with certain other codes, such as 52000 and 52351. It is also recommended to check with the payer before billing to ensure compliance with their specific rules and guidelines.

8. Historical information

CPT 52343 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 healthcare provider performs cystourethroscopy with balloon dilation to treat an intra-renal stricture in a patient.
2. Using cystourethroscopy, a provider uses laser treatment to address an intra-renal stricture in a patient.
3. A healthcare provider performs cystourethroscopy with electrocautery to treat an intra-renal stricture in a patient.
4. Using cystourethroscopy, a provider performs incision to treat an intra-renal stricture in a patient.
5. A patient undergoes cystourethroscopy with balloon dilation to address an intra-renal stricture.
6. A healthcare provider uses cystourethroscopy with laser treatment to treat an intra-renal stricture in a patient.
7. A patient undergoes cystourethroscopy with electrocautery to address an intra-renal stricture.
8. A healthcare provider performs cystourethroscopy with incision to treat an intra-renal stricture in a patient.
9. A patient undergoes cystourethroscopy with balloon dilation for the treatment of an intra-renal stricture.
10. A healthcare provider uses cystourethroscopy with laser treatment to address an intra-renal stricture in a patient.