You Be the Coder: Reporting Bladder Hydrodistention- Published on Sat, Jul 01, 2006 Updated on Wed, Oct 01, 2014
Question: How should I code for bladder hydrodistention for a patient with interstitial cystitis?
The code you’ll report depends on the type of anesthesia provided to the patient. For a cysto-scopy and bladder hydrodistention using general or spinal anesthesia, you should report CPT 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. 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