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 77002
would not...
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articles:
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
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
CPT: 77002
CPT: 52332
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