How To Use CPT Code 53275

CPT 53275 describes the excision or fulguration of urethral prolapse. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 53275?

CPT 53275 is used to describe a surgical procedure that involves the excision or fulguration of urethral prolapse. This code is used when a healthcare provider removes or treats prolapsed tissue in the urethra to improve urination, prevent infection, and relieve pain.

2. Official Description

The official description of CPT code 53275 is: ‘Excision or fulguration; urethral prolapse.’

3. Procedure

1. The healthcare provider prepares and anesthetizes the patient.
2. A small incision is made in the anterior vaginal wall (for female patients) or a transurethral incision is made (for male patients) to access the urethra.
3. The healthcare provider identifies the urethral prolapse and excises the prolapsed tissue.
4. If necessary, the healthcare provider may use electrocautery to fulgurate the urethral prolapse.
5. A catheter is typically inserted into the urethra to promote healing and is removed at a later date.
6. The healthcare provider controls any bleeding and closes the incision in layers.

4. Qualifying circumstances

CPT 53275 is performed on patients with urethral prolapse, a condition where the urethra partially or completely protrudes through the urethral opening. The procedure is done to improve urination, prevent infection, and relieve pain. It is important to note that the procedure may vary slightly depending on the patient’s gender.

5. When to use CPT code 53275

CPT code 53275 should be used when a healthcare provider performs the excision or fulguration of urethral prolapse. It is appropriate to use this code when the procedure is performed to improve urination, prevent infection, and relieve pain associated with urethral prolapse.

6. Documentation requirements

To support a claim for CPT 53275, the healthcare provider must document the following information:

• Patient’s diagnosis of urethral prolapse
• Details of the procedure performed, including whether excision or fulguration was used
• Date of the procedure
• Any additional procedures or treatments performed
• Any complications or adverse events
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 53275, ensure that the procedure performed is the excision or fulguration of urethral prolapse. It is important to follow the specific documentation requirements and guidelines set by the payer. It is also important to review any bundling or unbundling rules that may apply to this code.

8. Historical information

CPT 53275 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 healthcare provider performs the excision of urethral prolapse in a female patient to improve urination and relieve pain.
2. A male patient undergoes the fulguration of urethral prolapse to prevent infection and improve urination.
3. A healthcare provider excises the prolapsed tissue in the urethra of a female patient with urethral prolapse to relieve pain and improve urination.
4. A male patient with urethral prolapse undergoes the fulguration procedure to prevent infection and improve urination.
5. A healthcare provider performs the excision of urethral prolapse in a female patient to relieve pain and improve urination.
6. A male patient undergoes the fulguration of urethral prolapse to prevent infection and improve urination.
7. A healthcare provider excises the prolapsed tissue in the urethra of a female patient with urethral prolapse to relieve pain and improve urination.
8. A male patient with urethral prolapse undergoes the fulguration procedure to prevent infection and improve urination.
9. A healthcare provider performs the excision of urethral prolapse in a female patient to relieve pain and improve urination.
10. A male patient undergoes the fulguration of urethral prolapse to prevent infection and improve urination.