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Cystoscopy

Teresa Posted Mon 09th of March, 2020 16:16:09 PM
Genitalia is prepped and draped in a sterile fashion. A 22-french Olympus cystoscope was passed into the bladder and the bladder examined. Patient had post turp changes and friable tissue on the posterior aspect of the prostate. The remainder of the bladder exam without mucosal abnormality. No active bleeding seen. At this point the friable tissue on the posterior aspect of the prostate was then resedted and hemostasis obtained using electrocautery. After finishing the procedure, there is no other evidence of active bleeding so the resectoscope was removed and catheter placed in the bladder. We used 52601 and the insurance states there's a more specific code. Any help is appreciated
SuperCoder Answered Tue 10th of March, 2020 15:27:45 PM

Thanks for your question.  It appears that the patient has had a previois TURP procedure and the provider also resected residual tissue.  CPT code 52630; would cover this procedure.  When a patient has not had a prior TURP then 52601 would apply, but when there was a previous TURP performed CPT code 52630; Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included) would apply.  Hope that helps!

Teresa Posted Wed 11th of March, 2020 16:11:31 PM
Thanks so much!
SuperCoder Answered Thu 12th of March, 2020 01:12:17 AM

Thank you, Happy to help.

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