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Cystoscope and Ureteroscope

Nicole Posted Thu 23rd of June, 2016 14:51:47 PM
I'm just looking for clarification / guidance to proper billing for Cystoscopy/Ureteroscopy... For example: patient comes in and a cystoscope is used to view the urethra and bladder. Then there is a retrograde pylogram done. Then a flexible ureteroscope is used (to view the UPJ obstruction, per say). There was a right stent placed. The CPT code for the stent placement is the 52332. I just want to make sure I am understanding the proper/correct time when I would bill for the URETEROSCOPY. Some of the CPT codes have the description listed as "Cystourethroscopy, with ureteroscopy" other procedures just state "Cystourethroscopy". The docs do a lot of procedures where they use a Cystoscope and Ureteroscope. Should I be using the CPT code 52351 in addition to the other procedures to report the Ureteroscopy being done? Any help would be greatly appreaciated!
SuperCoder Answered Fri 24th of June, 2016 03:33:43 AM
Thanks for your question. If the physician has performed cystourethroscopy, ureteroscopy, pyeloscopy, ureteral stent placement, and retrograde pyelogram, you may report codes for all these procedures as follows: 1) 52351 - Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic. 2) 52332 – Cystourethroscopy, with insertion of indwelling ureteral stent (eg, gibbons or double-j type). 3) 74420 - Urography, retrograde, with or without kub. There is no CCI edits in the above mentioned codes. Please always check CCI edit before reporting multiple codes. Please feel free to write to us in case you have any concern or query. Thanks.

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