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The procedure described by CPT® Code 51703 involves the insertion of a temporary indwelling bladder catheter, specifically in cases that are classified as complicated. This may include situations where there is altered anatomy of the urinary tract or complications such as a fractured catheter or balloon. The term "temporary indwelling catheter" typically refers to a Foley catheter, which is a flexible tube used to drain urine from the bladder. The process begins with the preparation of a catheter kit, which contains all necessary sterile equipment. Prior to insertion, the urethra is thoroughly cleansed with an antiseptic solution to minimize the risk of infection. Following this, a sterile Foley catheter is carefully inserted through the urethra and into the bladder. To secure the catheter in place, a balloon at the tip of the catheter is inflated with approximately 10 cc of sterile water. This inflation prevents the catheter from slipping out of the bladder. The catheter is then connected to a sterile drainage bag, allowing for continuous drainage of urine from the bladder. It is important to note that CPT® Code 51703 is specifically designated for more complex cases, distinguishing it from simpler catheterization procedures, which are coded under CPT® Code 51702.
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