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reduced cysto?

Bianca Posted Thu 16th of February, 2017 18:14:44 PM
under the following scenario, can we bill for a 52000 with a 52 modifier? Patient was prepped for stent removal, upon introduction of the scope into the distal urethra, the tether was visualized, the scope was removed and fortunately the tether floated out with the lidocaine jelly and was grasped and stent was removed without difficulty.
SuperCoder Answered Thu 16th of February, 2017 23:48:17 PM

Cystourethroscopy would not be a billable service since it is considered to be included into the services of the major procedure performed on the day. It will be included into the services of the stent removal. You should bill CPT code 52310 for stent removal only. Cystourethroscopy should not be billed. 

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