Surgery Urinary System (January 2001)

January 2001 page 13c Coding Consultation Urinary System, Surgery, 52332, 52005 (Q&A) Question Does the explanatory information preceding code 52320 in the "Ureter and Pelvis" section include 52005 reported with 52332 ? The definition seems to imply that 52005 and 52332 can be reported together with an indwelling stent, yet the CCI edits bundle the codes. Which is correct? AMA Comment As stated in the Ureter and Pelvis guidelines in the CPT book, for the insertion of a self-retaining, indwelling stent performed during a diagnostic or therapeutic intervention(s), use code 52332 in addition to the primary procedure. Therefore, it...

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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 a coding consultation in the urinary system surgery section of CPT Assistant. It discusses the relationship between CPT guidance and Medicare CCI edits for a specific pair of urinary procedure codes, and explains why the issue matters for coders who need to reconcile different coding sources. The piece is relevant to surgical coding professionals, urology practices, and anyone reviewing CPT versus CCI policy differences.

Why This Topic Matters

It highlights how a procedure may be viewed differently under CPT guidance and Medicare CCI edits, which affects coding compliance and claim reporting in urinary system surgery.

Article Sections

  1. Coding Consultation

    A question-and-answer discussion focused on a urinary system surgery coding scenario and how different coding references address it. The section compares CPT guidance with national edit policy.

What You Will Learn

  • How a coding consultation frames a urinary system surgery question
  • How CPT guidance and Medicare CCI policy can differ
  • What types of references are discussed when resolving coding edit questions
  • How coders are directed to review edit resources for additional guidance

Who Should Read This

  • Medical coders
  • Coding auditors
  • Urology billing staff
  • Revenue cycle professionals
  • Compliance staff

Codes Discussed


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