Surgery: Urinary System (December 2009)

December 2009 page 12 Bonus Feature: Surgery: Urinary System Question: Can code 77002 be used in conjunction with code 52332 , Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) , when the surgeon is placing a guide wire in the ureter for eventual placement of an indwelling ureteral stent? In the code descriptor of code 77002 , what does the term "localization device" apply to? Rachel H. Phillips Answer: No. Since fluoroscopy is included with all the cystourethroscopy codes, a separate fluoroscopy code ( 77002 ) would not be reported when used in conjunction with cystourethroscopy. Also, code...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article addresses coding questions in urologic surgery, with emphasis on fluoroscopy, cystourethroscopy, ureteral stent placement, and how an imaging guidance code is applied in the context of a urinary system procedure. It is intended for coders, billers, auditors, and clinicians who work with CPT coding guidance and want to understand when imaging is considered part of a procedure versus separately reported. The article also explains the general concept of a localization device in imaging-related use cases.

Why This Topic Matters

Urology coding often depends on whether imaging is integral to a procedure or separately reportable. This article helps readers recognize the coding scope discussed in CPT Assistant for common urinary system workflow questions.

Article Sections

  1. December 2009 page 12

    A CPT Assistant Q&A focusing on urinary system surgical coding guidance and imaging-related clarification.

What You Will Learn

  • How the article frames fluoroscopy-related coding questions in urologic procedures
  • The broader context of cystourethroscopy and ureteral stent placement coding guidance
  • How the article discusses the concept of a localization device in imaging use cases
  • Which general coding topic is addressed in the December 2009 CPT Assistant discussion

Who Should Read This

  • CPT coders
  • urology billers
  • coding auditors
  • health information management professionals
  • physician practices

Codes Discussed


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