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Urology Coding Alert

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Open Urethral Biopsy, Cystoscopy at the Same Encounter

Question: Our urologist performed a cystourethroscopy with urethral biopsy. The biopsy was performed via open approach, not through the cystoscope. We coded 52000 and 53200 using 595.2 and 223.81. The payer disallowed 52000 as bundled. Do you agree with this adjudication? Is there a more appropriate single code for this procedure? New Hampshire Subscriber Answer: You are billing correctly with 53200 (Biopsy [...]

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