Urinary System Important CPT Questions 2025
Urinary System Important CPT Questions 2025 : In this article, we collect some important questions related to urinary System series guidelines. This series is very important for the Certified Professional Coder (CPC) exam, and out of total 100 questions, six come from the urinary System and this series is also very important for cpc exam
Let’s Start ———————
1. Preoperative Diagnosis: Right hydronephrosis Postoperative Diagnosis: Right hydronephrosis Operation: Cystoscopy and right retrograde pyelogram Procedure: Patient prepped and draped in the dorsolithotomy position. Placed under general anesthesia a 23 French cystoscope was passed into the bladder. No tumors were visualized. Urine from the bladder was sent for urine cytology. Thena 6 French access catheter was passed into the right uretal orfice. Contrast was injected and there were no filling defects noted. There was no fixed tumor and no stone. There was mild hydroureteral nephrosis against the bladder. There was a narrowing at the UVJ no abnormalities. Renal pelvis barbotaged with saline and renal pelvis urine sent to pathology for urine cytology. After the retrograde pyelogram was performed the access catheter was removed.
a. 52000-RT, 74420-26
b. 52281-RT, 74425-26
c. 52007-RT, 74400-26
d. 52005-RT, 74420-26
2. Percutaneous RF ablation of a renal tumor is defined by CPT code (surgical):
a. 50250
b. 50592
c. 50593
d. 49203
3. Percutaneous cryotherapy of a renal tumor is defined by code (surgical):
a. 50250
b. 50592
c. 50593
d. 49203
4. A 46-year-old female with history of cervical carcinoma underwent placement of an ileal conduit, with subsequent development of left hydronephrosis. A retrograde ureteral catheter was recently placed. She returns today for catheter exchange. Patient was placed in the supine position. The ileal conduit was accessed. The existing catheter was removed over a guidewire and replaced witha similar 10 French 50 cm long locking pigtail catheter. Contrast was injected, confirming good position. IMPRESSION: Left retrograde ureteral catheter exchange via the ileal conduit.
a. 50435, 75984
b. 50693
c. 50385
d. 50688, 75984
5. A surgeon performs a diagnostic laparoscopy followed by a laparoscopic nephrectomy (including partial ureterectomy). How should the physician report these services?
a. 50546
b. 49320, 50546-51
c. 49320
d. 50549
6. A patient underwent a complex cystometogram with bladder voiding pressurestudy and a urethral EMG. What codes should you use to report the service?
a.51728, 51784-51
b. 51725, 51785-51
c. 51726, 51797-59
d. 51728, 51784-59
7. Patient has consented for further testing to determine the extent of her cervical dysplasia. A cervical cone biopsy of endocervical tissue was cut using a laser. It was tagged with a single stitch. Dilation and curettage was performed. Small amount of tissue was obtained and sent to pathology. Which procedure code(s) should be used?
a. 57520, 58120
b. 57500
c. 57520
d. 57500, 57505
8. Newborn male is scheduled for a circumcision. He is sterilely prepped and draped; a penile nerve block is performed. The circumcision is performed by a ring device. Hemostasis is achieved. Vaseline Gauze dressing applied. Patient tolerated the procedure well. How would this encounter be coded?
a. 54160
b. 54150
c. 54161, 64450
d. 54150, 64450
9. Emma, a 46 years old patient underwent anterior cloporrhaphy repair of cystocele and repair of the urethrocele and inserted mesh. The procedure was completed via. Vaginal approach. How should you report this surgery?
a.57240, 57267
b. 57250, 57267
c. 57240, 57267-51
d. 57240, 49568-51
10. A neonatal male had an elective circumcision before home discharge from the newborn nursery. The physician uses a ring block for the local anesthetic and the foreskin is placed over the glans. A clamp is selected for the size of the glansand a constricting circular ring is placed over the foreskin to compress and devascularizethe foreskin. The devascularized foreskin is excised with a scalpel, the ring device is removed, and the penis is dressed. Which CPT® code should be used?
a. 54150
b. 54160
c. 54161
d. 54150-52
Urinary System Important CPT Questions 2025
11. A 23-year-old who is pregnant at 39 weeks and 3 days is presenting for a low transverse cesarean section. An abdominal incision is made and was extended superiorly and inferiorly with good visualization of the bladder. The bladder blade was then inserted and the lower uterine segment incised in a transverse fashion with the scalpel. The bladder blade was removed and the infant’s head delivered atraumatically. The nose and mouth were suctioned with the bulb suction trap and the cord doubly clamped and cut. The placenta was then removed manually. What code should be reported for this procedure?
a. 59610
b. 59510
c. 59514
d. 59515
12. A 57-year-old female having urinary incontinence with intrinsic sphincter deficiency is having a cystoscopy performed with a placement of a sling. Anincision was made over the mid urethra dissected laterally to urethropelvic ligament. Cystoscopy revealed no penetration of the bladder. The edges of thesling were weaved around the junction of the urethra and brought up to the suprapubic incision. A hemostat was then placed between the sling and the ureC – choice answer A. There is no documentation that supports patient having antepartum care or will be having postpartum care with the obstetrician delivering the baby, eliminating multiple choice answers B and D.thra, ensuring no tension. What CPT® code(s) should be reported?
a. 57288
b. 57287
c. 57288, 52000-51
d. 51992, 52000-51
13. 45-year-old male is going to donate his kidney to his son. Operating ports where placed in standard position and the scope was inserted. Dissection of the renal artery and vein was performed isolating the kidney. The kidney was suspended only by the renal artery and vein as well as the ureter. A stapler
was used to divide the vein just above the aorta and three clips across the ureter, extracting the kidney. This was placed on ice and sent to the recipient room. The correct CPT ®code is:
a. 50543
b. 50547
c. 50300
d. 50320
14. 35-year-old female has a symptomatic rectocele. She had been admitted and taken to the main OR. An incision is made in the vagina into the perineal body (central tendon of the perineum). Dissection was carried underneath posterior vaginal epithelium all the way over to the rectocele. Fascial tissue was brought together with sutures creating a bridge and the rectocele had been reduced with good support between the vagina and rectum. What procedure code should be reported?
a. 45560
b. 57284
c. 57250
d. 57240
15. 25-year-old female in the OR for ectopic pregnancy. Once the trocars were place a pneumoperitoneum was created and the laparoscope introduced. The leftfallopian tube was dilated and was bleeding. The left ovary was normal. The uterus was of normal size,shape and contour. The right ovary and tube were normal. Due to the patient’s body habitus the adnexa could not be visualized tostart the surgery. At this point the laparoscopic approach was terminated. The pneumoperitoneum was deflated, and trocar sites were sutured closed. The trocars and laparoscopic instruments had been removed. Open surgery was performed incising a previous transverse scar from a cesarean section. The gestation site was bleeding and all products of conception and clots were removed. The left tube was grasped, clamped and removed in its entirety and passed off to pathology. What code(s) should be used for this procedure?
a.59150,59120
b. 59151
c. 59121
d.59120
16. 16-day-old male baby is in the OR for a repeat circumcision due to redundant foreskin that caused circumferential scarring from the original circumcision. Anesthetic was injected and an incision was made at base of the foreskin. Foreskin was pulled back and the excess foreskin was taken off and the two raw skin surfaces were sutured together to create a circumferential anastomosis. Select the appropriate code for this surgery:
a. 54150
b. 54160
c. 54163
d. 54164
17. Code the procedure for cystourethroscopic resection of bladder tumor 3cmsize situated adjacent to the left urethral orifice by fulguration.
a. 52234
b. 52235-LT
c. 52235
d. 52285
18. Code the complete left renal transplantation procedure performed in a patient suffering with chronic renal failure. The surgeon performed the procedure by harvesting the left kidney of a living donor by laparoscopy, and after standard backbench preparation without any reconstruction. The non functional left kidneyof the patient, who had right nephrectomy 2 years before was also done during the same session.
a. 50325-LT, 50360-LT, 50320-LT
b. 50325-LT, 50365-LT, 50320-LT
c. 50365-LT, 50325-LT, 50547-LT
d. 50365-LT, 50325-LT, 50547-LT
19. An urologist performed transurethral electrosurgical resection of prostrate ina patient on the first day. The next post operative day he performed vasectomy and urethral dilation of prostatic urethra. Code the entire service.
a. 52601
b. 52601, 52601, 55250-59
c. 52601, 52600, 55250-59
d. 52601, 52600-58, 55250-58-59
20. A gynecologist performed instillation of a topical antifungal agent in thevagina of a patient who is having history of allergy to imidazole group of oral antifungal agent.
a.57180
b.57010
c.57150
d.57155
ANSWERS :–
1-D , 2-B , 3-C , 4- D, 5-A , 6-A , 7-C, 8-B, 9-A, 10-A ,
11-C , 12-A , 13-B, 14-C , 15- D, 16-C , 17-C , 18- B, 19-A , 20-C ,
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