Reimbursement Codes

Home , Cystoscopy, Suprapubic cystostomy

Possible Healthcare Common Procedure Code System (HCPCS) 596.54 Neurogenic bladder 596.9 Unspecified disorder of the bladder 599.60* Urinary obstruction, unspecified* ICD-10-CM Diagnosis 5 9 9 . 6 9 Urinary obstruction, not elsewhere classified Code Examples 788.20* Unspecified retention of urine* 788.21* Incomplete bladder emptying* 788.29* Other specification retention of urine* 997.5 Urinary complications 57.11 Percutaneous aspiration of bladder 57.17 Percutaneous cystostomy ICD-10-CM Procedure 57.18 Other suprapubic cystostomy Code Examples 57.19 Other cystostomy 57.21 Vesicostomy 662 Minor bladder procedures with major complication or comorbidity (MCC) 663 Minor bladder procedures with complication or comorbidity (CC) 664 Minor bladder procedures without CC/MCC Inpatient** 6 9 5 Kidney and urinary tract signs and symptoms with MCC MS-DRGS 696 Kidney and urinary tract signs and symptoms without MCC 698 Other kidney and urinary tract diagnoses with MCC 699 Other kidney and urinary tract diagnoses with CC 700 Other kidney and urinary tract diagnoses without MCC/CC 51040 Cystostomy, cystotomy with drainage CPT Code for: 51102 Aspiration of bladder; with insertion of suprapubic cathteter Outpatient 52281 Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis Ambulatory Surgery Center (ASC) 52276*** Cystoscopy, Cystourethroscopy with direct vision internal urethrotomy Physician 51705 Change of Cystostomy Tube HCPCS Code C2627 Catheter, suprapubic/cystoscopic

* Per coding guidelines, code any causal condition first, such as hyperplasia of prostate

** Other MS-DRGs may apply depending on primary procedure(s)

*** Modifiers are required when performed in conjunction with other procedures

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