tci ED Coding & Reimbursement Alert - 2020 Issue Q3

Reader Questions: Choose Carefully for Bladder Catheter Codes

Question: A patient with acute urinary retention (AUR) resulting in lower urinary tract obstruction received an emergency urethral catheterization in the ED to decompress the bladder. The Foley catheter was left in place and a subsequent ultrasound (US) scan of the urinary bladder revealed that the underlying cause of the AUR was benign prostatic hyperplasia. How should we code this situation? North Carolina Subscriber Answer: The emergency services performed to treat this patient’s urinary tract obstruction are relatively straightforward. Using the CPT® index, Catheter/Catheterization ⇒ Bladder ⇒ Insertion narrows your choice down to the following codes: 51701...

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