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The procedure described by CPT® Code 51705 refers to the simple change of a cystostomy tube, which is a medical intervention performed by a physician. A cystostomy tube is a catheter that is inserted into the bladder through the abdominal wall, allowing for the drainage of urine. This procedure is necessary to replace an existing cystostomy tube that may have become obstructed or encrusted over time, which can lead to complications if not addressed. The change of the tube is performed periodically as a preventive measure to ensure the continued functionality of the catheter and to minimize the risk of infection or other complications associated with a malfunctioning tube. During the procedure, a guidewire is introduced through the existing tube to facilitate the placement of the new tube. The existing tube is carefully removed, and a new cystostomy tube is then inserted over the guidewire and secured in place. It is important to note that if the tube change is straightforward, CPT® Code 51705 is applicable; however, if the procedure is complicated due to factors such as altered anatomy or adherence of the tube to the cystostomy tunnel, CPT® Code 51710 should be used instead.
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