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Topic Title: Suprapubic Catheter Changes
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Created On: 02/25/2010 11:56 AM

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 02/25/2010 11:56 AM
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We have patients that come to our hospital and have their Cystostomy catheters changed. The nurse removes the old catheter and cleanses the area w/ betadine and alcohol and inserts a #20 french 5 cc foley and applies triple antibiotic. We are wondering is CPT code 51705 could be billed for a nurse to perform this procedure. We have also referenced CPT Asst Dec 2007 page 13. Any help would be great!

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 02/28/2010 09:59 AM
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According to the Coder's Desk Reference for CPT 51705, the description starts out: "The physician changes a cystostomy tube..." IMO the physician has to perform the procedure in order to assign 51705.

"To err is human--and to blame it on a computer is even more so." - Robert Orben
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 01/14/2011 01:00 PM
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We had a patient come to the ER with a suprapubic cathether. The catheter, turns out, was blocked and the ER physician replaced the suprapubic catheter with a foley catheter. All the documentation we have states "I replaced the catheter with a foley using sterile conditions w/good urine return". We are wondering if, in this case 51705 would be appropriate to code as the description of the procedure states the physician removes the sutures, replaces the tube with a guidewire and sutures it in place. We don't think coding 51705 in this case is appropriate, as the foley is acting as a temporary replacement only. Would 51705 be appropriate to code, or would 51702 be more appropriate?
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