Suhel Posted Tue 31st of January, 2017 14:01:06 PM
I have the code 51705 for the replacement of the suprapubic tube, however, what would the CPT code be for "Antegrade & Retrograde Cystoscopy"? Is it different than 52000?
OP REPORT READS: “…suprapubic tube removed…then inspected the urethra. Penile & bulbar urethra were both w/in normal limits w/o evidence of strictures. Then entered prostatic urethra. The prostatic fossa was open but had a bladder neck contracture that was completely obstructed. No lesions or tumors seen. The scope was then moved under the urethra; then entered the bladder using the suprapubic tube tract site. Entered anterior bladder neck & went down to the bladder neck area. Was able to enter bladder neck as well as prostatic urethra from above. It was completely obstructed & no opening into the urethra itself; no tumors or pathology were seen. I then inspected the anterior, posterior & lateral walls, no lesions seen. Scope was retroflexed & suprapubic tube tract was inspected; no lesions. The scope was removed. #16 French Foley was place back into the bladder. Procedure complete.”
SuperCoder Answered Wed 01st of February, 2017 02:13:54 AM
As per NCCI edit CPT code 52000 bundles to code 51705 and no modifier is allowed to rule out bundling. However, if these procedures are performed on different date of service, both codes are billable. Please feel free to ask for any further assistence. Thank you.