CPT^® 52355, Under Ureter and Pelvis Transurethral Surgical Procedures

The Current Procedural Terminology (CPT^®) code 52355 as maintained by American Medical Association, is a medical procedural code under the range - Ureter and Pelvis Transurethral Surgical Procedures.

Additional/Related Information

Tabs

Summary

The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into the bladder, and performs a ureteroscopy (inspection of the ureters) and/or a pyeloscopy (inspection of the renal pelvis). He finds a ureteral or pelvic tumor and resects it (cuts it out).

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 52355 ? Start a discussion here

Is 52341 separately reportable with 52355?

Hi Coders, Here is my OP report: "The right ureteral orifice was in their orthotopic location and was cannulated with a guidewire. A second wire was placed in the left ureteral orifice under fluorosc... [ Read More ]

52355, 52332, 52354-51, 52353-51

52355 includes 52354 (a biopsy would be included with the resection), and instead of 52353 and 52332, you should have billed 52356 which is lithotripsy with stent.... [ Read More ]

52355, 52332, 52354-51, 52353-51

My doc billed 52355, 52332, 52354-51 and 52353-51. Medicare denied 52332 and 52354-51 as "this procedure or procedure/modifier combination is not compatible with another procedure provided on the same... [ Read More ]

52235 and 52355 - Transurethral resection of bladder tumor, transurethral resection of left distal ureter

I agree with you. Also 52355 is with a ureteroscopy, which he did not do.... [ Read More ]

52235 and 52355 - Transurethral resection of bladder tumor, transurethral resection of left distal ureter

Hi All! I am looking for some guidance. The physician is showing on the superbill for this surgery 52235 and 52355. I do not believe that 52355 fits this one and that 52235 should cover all of it. ... [ Read More ]

when to bill 74420

[QUOTE="pchamp25, post: 475829, member: 618560"] I am new to coding and I had a question in regards to when to use 74420 and when not to. We are billing out 52356 and 74420 TC. The claim came back a... [ Read More ]

52353 and 52352 together?

NCCI Manual currently states [QUOTE]CPT code 52332 (Cystourethroscopy, with insertion of indwelling ureteral stent) describes insertion of a self-retaining indwelling stent during cystourethroscopy w... [ Read More ]

Lithotripsy--anesthesia for uro or cysto cases

The ASA Crosswalk Manual is very helpful when coding urological procedures. The manual is available from the ASA (American Society of Anesthesiologists) website. The Crosswalk lists 00918 as the prim... [ Read More ]

So Many Procedures-Not Sure

Our Urology group did a Cystoscopy with clot evacuation, Bilateral Retrograde with Pyleograms, a Left Uteroscopy, a Right ureteral stent placement and a TURBT.These are the codes I came up with: 5235... [ Read More ]

Laser Resection of Ureteral Tumor and Ablation

Would either 52354 or 52355 be appropriate??... [ Read More ]

View All