| Certified Professional Coder (CPC)® certification Exam Prep | 1. Surgery | Urinary System |

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00:00 | Certified Professional Coder (CPC)® certification Exam Prep | 1. Surgery | Urinary System |

00:20 🔹 What is the Urinary System?
→ Kidneys — Filter blood and produce urine.
→ Ureters — Carry urine from kidneys to bladder.
→ Bladder — Stores urine until elimination.
→ Urethra — Carries urine out of the body.
Functions of the Urinary System:
→ Removes waste products from the body.
→ Maintains fluid and electrolyte balance.
→ Regulates blood pressure through fluid balance.
→ Controls red blood cell production through hormone secretion.

01:03 🔹 Urinary Procedures in CPC Coding (CPT Range 50010–53899):
→ Kidney Procedures
→ E.g., Nephrectomy (removal of kidney), Biopsy
→ CPT Example: 50220 (Nephrectomy, removal of kidney)
→ Ureter Procedures
→ E.g., Ureteroscopy, Stent placement
→ CPT Example: 52351 (Cystourethroscopy with ureteroscopy)
→ Bladder Procedures
→ E.g., Cystoscopy, Bladder biopsy, Tumor removal
→ CPT Example: 52000 (Cystourethroscopy, diagnostic)
→ Urethra Procedures
→ E.g., Urethral dilation, Meatotomy
→ CPT Example: 53600 (Urethral dilation)
→ Catheterization
→ E.g., Insertion of Foley catheter
→ CPT Example: 51702 (Insertion of temporary indwelling bladder catheter)
→ Lithotripsy
→ E.g., Crushing of kidney stones
→ CPT Example: 50590 (Extracorporeal shock wave lithotripsy)

02:36 🔹 Coding Tips for CPC Exam:
→ Endoscopic vs Open Procedures:
→ Many urinary procedures can be performed through endoscopy (scope) or open surgery — this affects the CPT code selection.
→ Laterality:
→ Know if the procedure is unilateral (one side) or bilateral (both sides).
→ Diagnostic vs Therapeutic:
→ Diagnostic cystoscopy is coded differently from cystoscopy with biopsy or stone removal.
→ Approach and Technique:
→ Know the procedural technique — for example, percutaneous nephrostomy vs surgical nephrectomy.
→ Bundle Awareness:
→ Some urinary procedures bundle imaging or other services — check CPT guidelines.

03:25 🔹 Common Diagnoses Requiring Urinary System Coding:
→ Kidney stones (Nephrolithiasis)
→ Bladder tumors
→ Benign prostatic hyperplasia (BPH)
→ Urinary tract infections (UTI)
→ Hematuria (blood in urine)
→ Urethral strictures

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