Code 51710, Change of cystostomy tube; complicated, may also be reported if the removal and replacement of the suprapubic tube involves a more complex encounter. Code 51102, Aspiration of bladder; with insertion of suprapubic catheter, involves performance of a stab wound on the lower abdomen (approximately 1 cm) above the pubis.
VICC's research indicates that cystostomy and suprapubic catheter (SPC) are synonymous terms and are considered a urinary stoma in ICD-10-AM. or Complication(s) (from) (of)/urethral catheter (indwelling) NEC/infection or inflammation T83.
Though the SPC would be considered an indwelling catheter, it does not involve the urethra. In ICD-10-CM, a CAUTI involving a suprapubic catheter would be coded to T83. 518A, Infection and inflammatory reaction due to other urinary catheter. Coding Clinic, 1Q 2012 pp.
The use of a cystostomy tube, also known as a suprapubic catheter, is one of the less invasive means of urinary diversion and can be used both temporarily and in the long term.
CPT® 51040 “Cystostomy, cystotomy with drainage” describes the suprapubic tube placement.
Cystostomy is the general term for the surgical creation of an opening into the bladder; it may be a planned component of urologic surgery or an iatrogenic occurrence. Often, however, the term is used more narrowly to refer to suprapubic cystostomy or suprapubic catheterization.
Z93.5ICD-10 code Z93. 5 for Cystostomy status is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
A The code 51010 (aspiration of bladder; with insertion of suprapubic catheter) is preferred. It refers to the transabdominal placement of a specially designed suprapubic catheter; the aspiration confirms proper placement of the device within the bladder.
Definition. Suprapubic cystostomy is a procedure to help drain the bladder (organ that collects and holds urine). A tube called a catheter, which leads out of the lower abdomen, is inserted to drain the bladder.
Suprapubic catheters A suprapubic catheter is a type of catheter that is left in place. Rather than being inserted through your urethra, the catheter is inserted through a hole in your tummy (abdomen) and then directly into your bladder.
For changing of a suprapubic catheter, use CPT® code 51705 Change of cystotomy tube; simple or CPT® code 51710 complicated.
Insertion of temporary indwelling bladder catheterCPT 51702 Insertion of temporary indwelling bladder catheter; simple (eg, Foley) Used when an indwelling catheter is inserted in the physician's office and the procedure is considered simple (versus complicated), and reimbursement under 51702 includes the insertion and the catheter itself.
If treating a Medicare patient, you can bill 52330 and 52332 but not 52005 with either.