CPT urinary bladder codes and guidelines

Week 5 chpt12 hit206 lesson 1 urinary system
Pyelotomy and Renal Endoscopic Procedures
Introduction
 CPT Code Range: 50010–53899
 Purpose: Codes for procedures on the urinary system
 Sections: Divided based on urinary system structures
 Function of Urinary System: Removes waste from the body
Guidelines Related to the National Correct Coding Initiative (NCCI)
1. Log on to NCCI Medicare Policy Manual.
2. Scroll to the section titled “View Manual by Chapter.”
3. Click “Chapter 7” for guidelines specific to the urinary system.
Abbreviations Related to the Urinary System
 ARF: Acute renal failure
 BPH: Benign prostatic hypertrophy
 BUN: Blood, urea, nitrogen
 CRF: Chronic renal failure
 C&S: Culture and sensitivity
 Cysto: Cystoscopy
 ESRD: End stage renal disease
 ESWL: Extracorporeal shock-wave lithotripsy
 IVP: Intravenous pyelogram
 IVU: Intravenous urography
 KUB: Kidneys, ureters, bladder
 PD: Peritoneal dialysis
 RP: Retrograde pyelogram
 TURP: Transurethral resection of the prostate
 U/A: Urinalysis
 UTI: Urinary tract infection
 VCUG: Voiding cystourethrogram

, Anatomy of the Urinary System
 Structures: Bilateral kidneys, bilateral ureters, urinary bladder, urethra
 Kidneys: Located in the back of the abdominal region, remove waste, regulate blood volume and
composition
o Size: 10 cm long, 5.5 cm wide, 3 cm thick, weighs about 5.5 ounces

 Ureters: Muscular tubes, 30 cm long, move urine to the bladder
 Urinary Bladder: Located in the pelvic cavity, temporary urine reservoir, holds about one quart
 Urethra: Transports urine from the bladder to be excreted
o Length: 3-5 cm in females, 18-20 cm in males

 External Sphincter: Controls urine release


Procedures Completed on the Kidneys (50010–50593)
 Subsections:
o Incision: 50010–50135

o Excision

o Renal Transplantation

o Introduction

o Repair

o Laparoscopy

o Endoscopy

o **Other Procedures

Incision (50010–50135)
 50010: Used when no other specific procedure is completed on the urinary system and there is
renal exploration
Incision (50010–50135)
 50010: Used when no other specific procedure is completed on the urinary system and there is
renal exploration
 50020: Open drainage of a perirenal or renal abscess
 50040, 50045, 50060–50075, 50080, 50081: Nephrostomy, nephrotomy with drainage
o Procedure: Incision through skin, muscles, fat, and other tissues to the kidney; catheter
tip placed, drain tube inserted, area closed