Genitourinary System Musculoskeletal System 2 Series CPT QuestionsCPT Guidelines
Hello Reader , In this Article we explain all about Genitourinary System CPT Guidelines 2024 updates in an easy way you can find codes and any updates related to Genitourinary System CPT Guidelines and the code range of Genitourinary System CPT Guidelines , and also you get modifier details that are used during the coding of Genitourinary System CPT Guidelines . Genitourinary system cpt code range start from 50000 – 59899. There are many modifiers used in Genitourinary system CPT guidelines, which are explained in this article in a very easy way with appropriate examples.
Anatomy of Urinary System
What is Urinary System ?
The urinary system’s function is to filter blood and create urine as a waste by-product. The organs of the urinary system include the kidneys, renal pelvis, ureters, bladder and urethra.
Types Of Urinary System:
- Kidney
- Ureter
- Bladder
- Urethra
- Kidney
The kidney and urinary systems help the body to eliminate liquid waste called urea, and to keep chemicals, such as potassium and sodium, and water in balance.
Two kidneys
This pair of purplish-brown organs is located below the ribs toward the middle of the back. Their function is to:
- Remove waste products and drugs from the body
- Balance the body’s fluids
- Release hormones to regulate blood pressure
- Control production of red blood cells
Two ureters
These narrow tubes carry urine from the kidneys to the bladder. Muscles in the ureter walls continually tighten and relax forcing urine downward, away from the kidneys.
About every 10 to 15 seconds, small amounts of urine are emptied into the bladder from the ureters.
Bladder
This triangle-shaped, hollow organ is located in the lower abdomen. It is held in place by ligaments that are attached to other organs and the pelvic bones. The bladder’s walls relax and expand to store urine, and contract and flatten to empty urine through the urethra.
Urethra
This tube allows urine to pass outside the body. The brain signals the bladder muscles to tighten, which squeezes urine out of the bladder.
Medical Terminology used in Genitourinary System:
- Dys – painful, bad , disorderd , difficult
- Ex/o – outside of , without
- -cele – herniation, or prolapse
- Cyst/o – relating to fluid , water or hydrogen.
- -osis – Condition, process
- -pexy – fixation
- Pyel/o – relating to the renal pelvis
- Vesic/o – relating to the urinary bladder
CPT Guidelines Of Urinary System
CPT code range for urinary System (50100 – 53899)
- Laproscopic procedure is a part of surgical procedure don’t code separately.
- We have to check in the scenario what type of procedure like open, laproscopic, endoscopy.
For Nephrectomy code in Genitourinary System CPT Guideline :
Look – Open / laproscopic.
Total, partial/ radical nephrectomy.
50220 – Code for Nephrectomy
50240 – For partial Nephrectomy
50543 – For laproscopic nephrectomy.
Kidney stone removal in CPT
Open incision ( 50060 – 50075)
Stone removal percutaneous: Lithotripsy can be used with stone basket extraction – 50080.
Percutaneous Lithotripsy – 50590.
52000 vs 52005 code
52000 – we have to code when cystoscope reach to urethra.
52005 – we have to code when cystoscope reach to the Ureter.
Renal Transplantation:
Renal autotransplantation includes reimplantation of the autograft as the primary procedure, along with secondary extra- corporeal procedures (e.g partial Nephrectomy, nephrolithotomy) reported with modifier 51 (50380 and applicable secondary procedure).
Renal allotransplantation involves three distinct components of physician work:
- Cadaver donor nephrectomy, unilateral or bilateral
- Backbench work
- Recipient renal allotransplantation : which includes transplantation of the allograft (with or without recipient nephrectomy and care of the recipient (50360,50365).
- To report cystourethroscopic removal of a self retaining, indwelling ureteral stent 52310, 52315 and appen modifier 58 , if appropriate.
Difference between CPT 52310 and 52315
- 52310 : Cystourethroscopy , with removal of foreign body, calculus or ureteral stent for urethra or bladder; simple.
- 52315 : Cystourethroscopy , with removal of foreign body, calculus or ureteral stent for urethra or bladder; Complicated.
Anatomy of Male Genital System
What is male Genital System?
Most of the male reproductive system is on the outside of your abdominal cavity or pelvis. The external body parts of the male reproductive system include the penis, scrotum and testicles. Another name for these parts is genitals or genitalia.
Parts of Male reproductive system
- Penis
- Scrotum
- Testicles
- Epididymis
- Vas deferens
- Urethra
- Seminal vesicles
Penis : The penis is the male organ for sexual intercourse. It contains many sensitive nerve endings, and it has three parts:
- Root. The root is the base of your penis. It attaches to the wall of your abdomen.
- Body (shaft). The body has a shape like a tube or cylinder. It consists of three internal chambers: the two larger chambers are the corpora cavernosa, and the third chamber is the corpus spongiosum.
- Glans (head). The glans is the cone-shaped tip of the penis. A loose layer of skin (foreskin) covers the glans. Healthcare providers sometimes surgically remove the foreskin (circumcision).
Scrotum:
The scrotum is the loose, pouch-like sac of skin that hangs behind the penis. It holds the testicles (testes) as well as nerves and blood vessels.
Testicles
The testicles (testes) are oval-shaped organs that lie in your scrotum. They’re about the size of two large olives. The spermatic cord holds the testicles in place and supplies them with blood.
Epididymis
The epididymis is a long, coiled tube that rests on the back of each testicle. It carries and stores the sperm cells that your testicles create.
Vas deferens
The vas deferens is a long, muscular tube that travels from the epididymis into the pelvic cavity, just behind the urinary bladder. The vas deferens transports mature sperm to the urethra in preparation for ejaculation.
Urethra
The urethra is the tube that carries pee from your bladder outside of your body. If you have a penis, it also ejaculates semen when you reach orgasm.
Seminal vesicles
The seminal vesicles are sac-like pouches that attach to the vas deferens near the base of the bladder. Seminal vesicles make up to 80% of your ejaculatory fluid, including fructose. Fructose is an energy source for sperm and helps them move (motility).
CPT Guidelines of Male Genital System (54000 – 55899)
What is the Circumcision Codes
Range in CPT Guideline?
Code 54150 vs 54160 we need to check with clamp aur without clamp
- When clamp + ring block/ dorsal penile is used then we have to code 54150.
- When clamp is not used then we have to code 54160.
54163 – Repair incomplete circumcision/ repeat circumcision.
Note : use 52 modifier with code 54150 when procedure done without ring block.
Prostate biopsy: 55700, 55705, 55706.
check which type of biopsy is performed like needle or punch vs incisional vs transperineal.
Anatomy of Female Genital System
What is Female Genital System?
The female reproductive system consists of internal and external organs. It creates hormones and is responsible for fertility, menstruation and sexual activity.
Parts of Female Genital System
External parts
The function of your external genitals are to protect the internal parts from infection and allow sperm to enter your vagina.
The main parts of your vulva or external genitals are:
Labia majora: Your labia majora (“large lips”) enclose and protect the other external reproductive organs.
Labia minora: Your labia minora (“small lips”) can have a variety of sizes and shapes. They lie just inside your labia majora, and surround the opening to your vagina (the canal that joins the lower part of your uterus to the outside of your body) and urethra (the tube that carries pee from your bladder to the outside of your body).
Clitoris: Your two labia minora meet at your clitoris, a small, sensitive protrusion that’s comparable to a penis in men or people assigned male at birth (AMAB).
Hymen: Your hymen is a piece of tissue covering or surrounding part of your vaginal opening. It’s formed during development and present during birth.
Internal parts
Vagina: Your vagina is a muscular canal that joins the cervix (the lower part of uterus) to the outside of the body. It can widen to accommodate a baby during delivery and then shrink back to hold something narrow like a tampon.
Cervix: Your cervix is the lowest part of your uterus. A hole in the middle allows sperm to enter and menstrual blood to exit. Your cervix opens (dilates) to allow a baby to come out during a vaginal childbirth.
Uterus: Your uterus is a hollow, pear-shaped organ that holds a fetus during pregnancy.
Ovaries: Ovaries are small, oval-shaped glands that are located on either side of your uterus. Your ovaries produce eggs and hormones.
Fallopian tube: These are narrow tubes that are attached to the upper part of your uterus and serve as pathways for your egg (ovum) to travel from your ovaries to your uterus.
CPT Guidelines of female Genital System ( 56405 – 58999)
Vulvectomy procedure:
Check simple vs radial
Partial vs complete
Note : simple – Removal of skin and superficial subcutaneous tissue.
Radial – Removal of skin and deep subcutaneous tissue.
Partial – Removal of skin and less than 80% vulvar area.
Complete – Removal of skin and greater than 80% vulvar area.
Vulvar area code range (56620 – 56640).
Colporrhaphy : cystocele, Rectocele, enterocele repair.
Endoscopy on cervix uteri
- Biopsy + ECC then code is 57454
- Only biopsy then code is 57455.
- Open biopsy then 57505.
- Only ECC is then code 57456.
- Loop electrode biopsy: 57460.
- Conization : 57461 , conization open procedure then code is 57520.
- Conization + ECC both then code is 57456.
Hysterectomy:
- which type of hysterectomy is performed like open vs laproscopic
- Total, partial Supracervical, vaginal, radical open vs laproscopic.
- Abdominal vs Vaginal
- Partial vs Total
- Removal of Ovaries and tube.
Maternity care and delivery procedure:
(59400 – 59622)
- Antepartum care
- Delivery (vaginal vs c- section)
- Postpartum care
- VBAC
Twins: vaginal delivery including antepartum and postpartum care code range is 59400 – 59409 .
Abortion (59812 – 59857)
- spontaneous abortion treated surgically then code is 59812.
- Spontaneous abortion not requiring surgical treatment then code E/M.
- Missed abortion for first trimester code is 59820.
- Missed abortion for second trimester then code is 59821.
- Septic abortion code is 59830.
- Induce abortion (D&C) code is 59840.
- Induce abortion (D&E) code is 59841.
- Induce abortion with dilation and curttage and evacuation code is 59851.
- Induce abortion by one or more induce suppositories code is 59855.
Share this article For More Information.
If you have any questions, please contact us.
Thanks For Reading this Article.
CPT Guidelines Series Wise :- https://medicopediaa.com/category/cpt-guidlines/
For Any Query : DM me on Insta : – @medico_pediaa