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urethral biopsy

Ann Posted Tue 09th of December, 2014 12:10:29 PM

physician per performed cystourethroscopy with urethral biopsy.
We coded 52000 and 53200 using DX: 595.2 and 223.81

The payer disallowed 52000 as bundled. Do you agree with this adjudication? Is there a more appropriate single code for this procedure?

Thank You

SuperCoder Answered Tue 09th of December, 2014 15:28:14 PM

Was this the biopsy done during the as an open approach or with cystourethroscopy?

Ann Posted Wed 10th of December, 2014 20:24:55 PM

Yes, it was done as open approach not with cysto-scope.

SuperCoder Answered Fri 12th of December, 2014 11:26:16 AM

These are not bundled codes per the CCI edits.Did you have a 51 modifier on the 53200?

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