Urology Coding Alert
Reporting Anesthesia With Cysto Tube Change
Maryland Subscriber
Answer: You can use one of two codes to report a cystostomy tube change: CPT 51705 (Change of cystostomy tube; simple) or 51710 (... complicated). When the physician must give the patient anesthesia to perform the tube removal and replacement, CPT 51710 is the better choice. This code indicates that the tube change was complicated.
You could consider a cystostomy tube change complicated for several reasons, including patient pain or bleeding when the urologist removes the tube. Your urologist should state any complications or anesthesia use in his documentation to support your use of the complicated code.
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