Urology Coding Alert

You Be the Coder: Reporting Bladder Hydrodistention

- Published on Sat, Jul 01, 2006 Updated on Wed, Oct 01, 2014
Reviewed on May 27, 2015
Question: How should I code for bladder hydrodistention for a patient with interstitial cystitis?

Idaho Subscriber

Answer: The code you’ll report depends on the type of anesthesia provided to the patient. For a cystoscopy and bladder hydrodistention using general or spinal anesthesia, you should report 52260(Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction [spinal] anesthesia). If the urologist provided local anesthesia, use 52265 (... local anesthesia).
Don’t forget the diagnosis: Use 595.1 (Chronic interstitial cystitis) for the urologist’s diagnosis of interstitial cystitis.   For ICD-10, report N30.10 (Interstitial cystitis [chronic] without hematuria) or N30.11 (Interstitial cystitis [chronic] with hematuria).
Bonus: If the physician also instills a medication at the same session, you can separately report that service using 51700 (Bladder irrigation, simple, lavage and/or installation).

Get 14-Day Fully-Functional Free Trial of Physician Coder

Get access to all your specialty alerts and archived articles along with some comprehensive tools including:
  • Code Search for CPT®, HCPCS, ICD-9 and ICD-10
  • CCI Edits Checker
  • Part B Fees, MUEs
  • CPT-ICD-9 CrossRef
  • CPT® ↔ ICD-9 ↔ ICD-10 CM Crosswalk
  • LCD/NCD Lookup
  • CMS 1500 Claims Scrubber
  • NDC ↔ CPT/HCPCS CrossReference
First Name: *
Last Name: *
User Name: *
E-mail: *
Phone: *
Choose Speciality*
Please enter the characters shown in box*