© Copyright 2025 American Medical Association. All rights reserved.
The CPT® Code 51605 refers to an injection procedure involving the placement of a chain for contrast and/or chain urethrocystography. This procedure entails the introduction of a specialized tube that contains a beaded chain and a catheter through the urethra. Once the tube is in place, a contrast agent is injected to enhance the visibility of the urinary tract during imaging. The procedure is designed to obtain radiographs, which are separate and reportable, to evaluate the anatomy and function of the bladder and urethra. Chain cystourethrography was primarily utilized to assess stress incontinence in women by evaluating urethral hypermobility and the extent of bladder descent. However, it is important to note that this diagnostic method has largely been supplanted by more advanced techniques, such as video urodynamic studies, which provide a more comprehensive analysis of urinary function.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 51605 is indicated for the evaluation of specific urinary conditions, particularly in women experiencing stress incontinence. The following indications are associated with this procedure:
The procedure for CPT® Code 51605 involves several key steps that ensure accurate placement and effective imaging. The following procedural steps are outlined:
Following the completion of the procedure, patients may be monitored for any immediate complications or discomfort. It is important to provide post-procedure care instructions, which may include recommendations for hydration and monitoring for any signs of infection or adverse reactions to the contrast material. Patients should also be informed about the potential for transient urinary symptoms following the procedure. Follow-up appointments may be necessary to discuss the results of the imaging and any further management options based on the findings.
| Short Descr | PREPARATION FOR BLADDER XRAY | Medium Descr | NJX & PLACEMENT CHAIN CONTRAST&/URETHROCSTOGRAPY | Long Descr | Injection procedure and placement of chain for contrast and/or chain urethrocystography | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Packaged into APC Rates | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | I1F - Standard imaging - other | MUE | 1 | CCS Clinical Classification | 200 - Nonoperative urinary system measurements |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2013-01-01 | Changed | Medium Descriptor changed. |
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.