How To Use CPT Code 52344

CPT 52344 describes a specific procedure involving cystourethroscopy and ureteroscopy for the treatment of a ureteral stricture. This article will provide an overview of the code, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of when CPT 52344 may be used.

1. What is CPT Code 52344?

CPT 52344 is a code that represents a procedure involving cystourethroscopy and ureteroscopy for the treatment of a ureteral stricture. This procedure is performed by a healthcare provider who inserts a cystoscope through the urethra and into the bladder to inspect the interior of the bladder, urethra, prostatic urethra, and ureteric openings. The provider then uses various methods, such as balloon dilation, laser, electrocautery, or incision, to treat the ureteral stricture. A ureteroscope may also be used for further visualization of the ureters.

2. Official Description

The official description of CPT code 52344 is: ‘Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision).’ This code specifically refers to the procedure of cystourethroscopy and ureteroscopy for the treatment of a ureteral stricture. It includes the use of various treatment methods to address the stricture.

3. Procedure

1. The healthcare provider begins by inserting a cystoscope into the urethra and slowly advancing it into the bladder.
2. Using the camera attached to the cystoscope, the provider examines the urethra and injects sterile saline water into the bladder to improve visibility.
3. The provider then advances the catheter tip into a ureteral orifice to identify the presence of a ureteral stricture.
4. If a stricture is found, the provider may choose to use a guidewire to navigate through the stricture and pass a balloon catheter over it to dilate the narrowed area.
5. Alternatively, the provider may use a laser, electrocautery, or cutting device to burn or incise the stricture and open up the ureter.
6. A ureteroscope may be inserted into the ureter to visualize and treat any additional strictures or stones.
7. If necessary, the provider may place a temporary catheter or stent to keep the ureter open during the healing process.
8. Once the procedure is complete, the provider drains the bladder and removes the instruments and scope.

4. Qualifying circumstances

CPT 52344 is used for patients who have a ureteral stricture that requires treatment. A ureteral stricture refers to the narrowing of the ureter, which can cause obstruction and impair the flow of urine from the kidneys to the bladder. The procedure is performed by a healthcare provider who is trained in cystourethroscopy and ureteroscopy. The provider may use various methods, such as balloon dilation, laser, electrocautery, or incision, to treat the stricture and improve the function of the ureter.

5. When to use CPT code 52344

CPT code 52344 should be used when a healthcare provider performs cystourethroscopy and ureteroscopy specifically for the treatment of a ureteral stricture. This code is appropriate when the provider uses methods such as balloon dilation, laser, electrocautery, or incision to address the stricture. It is important to note that this code should not be used for procedures that do not involve the treatment of a ureteral stricture.

6. Documentation requirements

To support a claim for CPT 52344, the healthcare provider must document the following information:

• Patient’s diagnosis of a ureteral stricture
• Specific treatment methods used, such as balloon dilation, laser, electrocautery, or incision
• Date of the procedure
• Start and end time of the procedure
• Any additional procedures performed, such as ureteroscopy
• Any temporary catheters or stents placed
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 52344, it is important to ensure that the procedure performed aligns with the code description. The healthcare provider should document the specific treatment methods used, such as balloon dilation, laser, electrocautery, or incision. It is also important to follow any additional guidelines provided by the payer regarding the use of modifiers or reporting of multiple procedures. It is recommended to check with the payer for any specific billing requirements or guidelines.

8. Historical information

CPT code 52344 was added to the Current Procedural Terminology system on January 1, 2001. There have been no updates or changes to the code since its addition.

9. Examples

1. A healthcare provider performs cystourethroscopy and ureteroscopy with balloon dilation to treat a ureteral stricture in a patient.