Urology Coding Alert

Question: What is the code for using ultrasound guidance for percutaneous suprapubic tube placement into the bladder?

California Subscriber

Answer: When coding for image guided procedures, a code for the procedure and a code for the imaging service must be reported. Failure to report both portions of the complete service that was provided will result in lost revenue to the physician and the facility alike.

To report a percutaneous tube placement into the bladder, use codes 51010 (aspiration of bladder; with insertion of suprapubic catheter) and 76938 (ultrasonic guidance for cyst [any location] or renal pelvis aspiration, radiological supervision and interpretation) or 76775 (echography, retroperitoneal [e.g., renal, aorta, nodes], B-scan and/or real time with image documentation; limited). Unless another surgical procedure was performed, there is no need to attach a modifier to 51010.