Reader Question: Cystoscopy With Biopsy- Published on Sun, Oct 01, 2000
Question: How should I code cystoscopy and a needle biopsy of seminal vesicles with prostatic biopsy?
Illinois Subscriber Answer:
If the needle biopsy of the prostate and seminal vesicles is performed via a noncystoscopic approach, report 55700 (biopsy, prostate; needle or punch, single or multiple, any approach
). If a cystoscopy is performed as a separate procedure in addition to the needle or punch biopsy, then 52000 (cystourethroscopy [separate procedure]
) can be reported with modifier -59 (distinct procedural service). In addition, if ultrasonic guidance is used to guide the needle biopsy of the prostate, 76942 (ultrasonic guidance for needle biopsy, radiological supervision and interpretation
) can also be reported. If the needle biopsy is a transurethral biopsy of the prostate, an unlisted procedure code (55899) would be reported for the cystoscopy with transurethral needle biopsy of the prostate. According to the CPT, a biopsy via endoscopy is always coded with a single code, therefore a cystoscopy code would not be reported additionally in this case.