AMA CPT® Assistant - 1997 Issue 12 (December)
The Whitaker Test (December 1997)
December 1997 pages 7-9 Coding Communication The Whitaker Test Actual structural causes of dilation of the renal collecting system include urinary stones, tumors or complications of prior surgery. However, dilatation of the renal collecting system can also be seen without a functional or structural obstruction in patients following surgery, following a now relieved obstruction, or with congenital variations. The distinction between dilatation with obstruction and dilatation without obstruction is important as obstruction can lead to decreased kidney function and infection. In patients with an enlarged or dilated kidney, the distinction between an obstructed urinary system and a nonobstructed urinary...
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Article Overview
This article discusses the Whitaker test as part of urinary tract and renal collecting system evaluation, with attention to related imaging, renal pelvis access, and manometric measurement procedures. It is relevant to coders, radiology staff, and interventionalists who work with urinary system diagnostic procedures and CPT reporting guidance from the late 1990s.
Why This Topic Matters
It helps readers understand how the procedure is situated within urinary tract diagnostics and which procedure codes and imaging categories are associated with the service. The article is useful for distinguishing the general clinical workup from the coding references tied to the procedure.
Article Sections
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December 1997 pages 7-9
Introduces the topic and frames the article within a coding communication format from CPT Assistant.
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The Whitaker Test
Explains the clinical context for evaluating renal collecting system dilation and outlines the procedure at a high level. It also discusses how the test fits into the broader urinary tract diagnostic pathway.
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Urinary System, Kidney, Introduction Codes
Lists CPT procedure categories associated with renal pelvis access and related injection or measurement services.
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Radiology, Urinary Tract Codes
Lists radiology supervision and interpretation code categories relevant to urinary tract imaging.
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Radiology, Ultrasonic Guidance Procedures Code
Identifies an ultrasound guidance code category related to renal pelvis procedures.
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Clinical Vignettes
Provides example cases showing the procedure in different clinical settings, including imaging, access routes, and pressure measurement workflow.
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Clinical Vignette
Presents a second example case focused on prior obstruction management and a subsequent Whitaker test scenario.
What You Will Learn
- How the Whitaker test is positioned within renal collecting system evaluation
- Which broad CPT coding categories are associated with renal pelvis access and measurement services
- How urinary tract radiology codes are grouped in the article
- What kinds of clinical scenarios are illustrated by the included vignettes
- How the article frames the relationship between diagnostic imaging and procedural coding
Who Should Read This
- Medical coders
- Radiology coders
- Interventional radiology staff
- Urology practices
- Health information management professionals
Codes Discussed
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