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Urology Coding Alert

Reader Question:
Report 20501 for a Fistulogram in an Ambulatory Surgery Center

Question: Our provider performed a cystoscopy, bladder biopsy with fulguration, and fistulogram in an ASC. Is the fistulogram separately billable from the bladder biopsy? If so, what procedure code would we report? Mississippi Subscriber Answer: You should report 20501 (Injection of sinus tract; diagnostic [sinogram]) since your urologist also performed the fistulogram. If your urologist documented that he also interpreted [...]

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