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The procedure described by CPT® Code 52343 involves cystourethroscopy, which is a minimally invasive surgical technique used to visualize and treat conditions affecting the urethra and bladder. Specifically, this code pertains to the treatment of intra-renal strictures, which are narrowings that occur within the renal pelvis or ureter. During the procedure, a cystourethroscope—a specialized instrument equipped with a camera and light—is inserted through the urethra and advanced into the bladder and ureter. This allows the physician to directly observe the stricture. The treatment options for addressing the stricture include balloon dilation, laser therapy, electrocautery, and incision techniques. These methods aim to widen the narrowed area, restore normal urine flow, and alleviate any associated symptoms. The procedure is performed under ureteroscopic control, ensuring precision in navigating the urinary tract and effectively treating the stricture. Following the intervention, a temporary indwelling stent may be placed to maintain patency at the surgical site, facilitating recovery and preventing complications.
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The procedure described by CPT® Code 52343 is indicated for the treatment of intra-renal strictures, which may arise due to various underlying conditions. The following are the specific indications for performing this procedure:
The procedure for CPT® Code 52343 involves several critical steps to effectively treat the intra-renal stricture:
Post-procedure care following the treatment of an intra-renal stricture with CPT® Code 52343 typically involves monitoring for any complications and ensuring the proper function of the indwelling stent. Patients may be advised to maintain hydration and report any signs of infection or complications, such as fever, increased pain, or changes in urinary output. Follow-up appointments are essential to assess the effectiveness of the procedure and to determine if further interventions are necessary. The stent is usually removed after a specified period, depending on the individual case and physician recommendations.
| Short Descr | CYSTO W/RENAL STRICTURE TX | Medium Descr | CYSTO W/TX INTRA-RENAL STRICTURE | Long Descr | Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 3 - Special payment adjustment rules for multiple endoscopic procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Endoscopic Base Code | 52000 Cystourethroscopy (separate procedure) | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P8E - Endoscopy - cystoscopy | MUE | 1 | CCS Clinical Classification | 101 - Transurethral excision, drainage, or removal urinary obstruction |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2018-01-01 | Changed | Added guideline per 2018 CPT Errata and Technical Corrections document. |
| 2001-01-01 | Added | First appearance in code book in 2001. |
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