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
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
