How To Use CPT Code 53620

CPT 53620 describes the dilation of a urethral stricture in male patients by passing a filiform and follower. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 53620?

CPT 53620 is used to describe the dilation of a urethral stricture in male patients. During this procedure, a healthcare provider uses small tools called a filiform and follower to widen the narrowed area of the urethra. The purpose of this procedure is to improve urinary flow and prevent infection. It is important to note that CPT 53620 is specifically used for the initial visit of the patient.

2. Official Description

The official description of CPT code 53620 is: ‘Dilation of urethral stricture by passage of filiform and follower, male; initial.’

3. Procedure

1. The healthcare provider applies a lubricant and gently inserts the filiform device through the meatus, which is the urethral opening.
2. Using different sizes of followers attached to the ends of the filiform, the provider achieves the desired widening of the urethra.
3. This procedure is performed to expand or widen the narrowed area of the urethra, allowing for improved urinary flow.

4. Qualifying circumstances

CPT 53620 is performed on male patients with a urethral stricture, which is a narrowing of the urethra. The procedure is done to alleviate the symptoms caused by the stricture and improve urinary flow. It is important to note that CPT 53620 is specifically used for the initial visit of the patient.

5. When to use CPT code 53620

CPT code 53620 should be used when a healthcare provider performs the dilation of a urethral stricture in a male patient using a filiform and follower during the initial visit. It is important to use this code only for the initial visit and not subsequent visits for the same treatment.

6. Documentation requirements

To support a claim for CPT 53620, the healthcare provider must document the following information:

• Patient’s diagnosis of a urethral stricture
• Specific details of the procedure, including the use of a filiform and follower
• Date of the procedure
• Start and end time of the procedure
• Any complications or additional procedures performed
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 53620, ensure that the procedure is performed on a male patient and involves the passage of a filiform and follower to dilate a urethral stricture. It is important to use this code only for the initial visit of the patient. If the patient comes for subsequent visits for the same treatment, a different code should be used. It is also important to follow any additional guidelines provided by the payer or coding guidelines.

8. Historical information

CPT 53620 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A healthcare provider performs the dilation of a urethral stricture in a male patient during the initial visit using a filiform and follower.
2. Using a filiform and follower, a healthcare provider widens the narrowed area of the urethra in a male patient to improve urinary flow and prevent infection.
3. During the initial visit, a healthcare provider dilates a urethral stricture in a male patient by passing a filiform and follower.
4. A male patient undergoes the dilation of a urethral stricture during the initial visit, with a healthcare provider using a filiform and follower.
5. Using a filiform and follower, a healthcare provider performs the dilation of a urethral stricture in a male patient to alleviate symptoms and improve urinary flow.
6. During the initial visit, a healthcare provider widens the narrowed area of the urethra in a male patient by passing a filiform and follower.
7. A male patient receives the dilation of a urethral stricture using a filiform and follower during the initial visit with a healthcare provider.
8. Using a filiform and follower, a healthcare provider performs the dilation of a urethral stricture in a male patient to improve urinary flow and prevent infection during the initial visit.
9. During the initial visit, a healthcare provider dilates a urethral stricture in a male patient by passing a filiform and follower to alleviate symptoms.
10. A male patient undergoes the dilation of a urethral stricture during the initial visit, with a healthcare provider using a filiform and follower to improve urinary flow.