How To Use CPT Code 53080

CPT 53080 describes the procedure for drainage of perineal urinary extravasation without any complications. 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 53080?

CPT 53080 can be used to describe the surgical procedure performed to drain urine that has collected in the perineal tissues. This procedure is specifically for cases where the drainage is not complicated by any unforeseen issues. The purpose of this procedure is to correct the leakage and relieve pain experienced by the patient.

2. Official Description

The official description of CPT code 53080 is: ‘Drainage of perineal urinary extravasation; uncomplicated (separate procedure).’ This code is used when the provider performs the procedure to aspirate or suck out the urine that has leaked from its container in the perineal area without any complications.

3. Procedure

1. When the patient is appropriately prepped and anesthetized, the provider makes an incision around the urethra to identify the extravasation.
2. After identifying the extravasation, the provider extends the incision into the area of extravasation and drains the urine.
3. The provider then irrigates the area, typically with antibiotic solution, to ensure cleanliness and prevent infection.
4. Any bleeding is controlled by the provider, and the incision is closed in layers using absorbable sutures.

4. Qualifying circumstances

CPT 53080 is used for cases where the perineal urinary extravasation is uncomplicated. This means that there are no unforeseen issues or complications during the procedure. The provider performs this procedure to correct the leakage and relieve pain experienced by the patient.

5. When to use CPT code 53080

CPT code 53080 should be used when the provider performs the drainage of perineal urinary extravasation procedure without any complications. It is important to ensure that there are no unforeseen issues during the procedure to accurately report this code.

6. Documentation requirements

To support a claim for CPT 53080, the provider must document the following information:

• The patient’s diagnosis and the need for the drainage procedure
• The specific details of the procedure performed, including the incision, identification of extravasation, drainage of urine, irrigation, control of bleeding, and closure of the incision
• Any additional details or complications encountered during the procedure
• The date and duration of the procedure
• The provider’s signature

7. Billing guidelines

When billing for CPT 53080, ensure that the procedure performed is the drainage of perineal urinary extravasation without any complications. It is important to accurately document the details of the procedure and any additional complications encountered. Report CPT code 53080 for uncomplicated extravasation and CPT code 53085 for complicated extravasation. Do not report CPT 53080 if CPT codes 53066 to 53069 are already performed in the previous seven days.

8. Historical information

CPT 53080 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A provider performs the drainage of perineal urinary extravasation procedure on a patient without any complications.
2. A patient presents with perineal urinary extravasation, and the provider successfully drains the urine without any complications.
3. During a surgical procedure, the provider identifies perineal urinary extravasation and performs the drainage procedure without any complications.
4. A patient with perineal urinary extravasation undergoes the drainage procedure, and the provider ensures there are no complications during the procedure.
5. The provider performs the drainage of perineal urinary extravasation procedure on a patient, and there are no unforeseen issues or complications encountered.
6. A patient with perineal urinary extravasation receives the drainage procedure, and the provider successfully drains the urine without any complications.
7. During the drainage procedure for perineal urinary extravasation, the provider ensures there are no complications and effectively relieves the patient’s pain.
8. A provider performs the drainage of perineal urinary extravasation procedure on a patient, and the procedure is completed without any complications.
9. A patient undergoes the drainage procedure for perineal urinary extravasation, and the provider successfully drains the urine without any complications.
10. The provider performs the drainage of perineal urinary extravasation procedure on a patient, and there are no unforeseen issues or complications encountered during the procedure.