Table 6.
IC treatments and corresponding CPT codes
| Treatment | Procedure | CPT code |
|---|---|---|
| Intravesical | 51700, 51720 | |
| Marcaine | J3490 | |
| Lidocaine | J2000 | |
| Heparin | J1644 | |
| Dimethyl sulfoxide (DMSO) | J1212 | |
| Hyaluronic acid | ||
| Chondroitin sulfate | 82485 | |
| Pentosan polysulfate | ||
| BCG | 90586, J9031 | |
| Resiniferatoxina | ||
| Botox | J0585 | |
| Cystoscopy under anesthesia | 52000 and 00910 | |
| Hydrodistension | 52260 | |
| Surgical | Interstim (neuromodulation) | 64681, 64590, 64555, 64561,64575, 64581 |
| Removal/revision Interstim | 64585, 64595 | |
| Cystectomy | 51550, 51555, 51565, 51590, 51595, 51596 | |
| Augmentation cystoplasty | 51960 | |
| Urinary diversion | 51596, 51595, 51590 | |
| Neobladder | 51596 |