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urethral dilation with cystoscopy

Jeanne Posted Mon 08th of September, 2014 17:19:42 PM

My physician dilated the urethra with a sounds dilator and then performs a cystoscopic examination of the bladder. what is correct coding for this?

SuperCoder Answered Tue 09th of September, 2014 02:32:53 AM

If the provider first performs dilation of urethra with a sound dilator and then performs cystoscopy, there are to codes:

53600- Dilation of urethral stricture by passage of sound or urethral dilator, male; initial.

52000- Cystourethroscopy (separate procedure)

However, there is a CCI edit between these code that you may not report 53600 with 52000 and services of 53600 is included in code 52000.

If the provider has first performed cystoscopy and then inserted another instrument through the channel in the scope to dilate the urethra, you may use the following codes.

53600- Dilation of urethral stricture by passage of sound or urethral dilator, male; initial.

Thanks !!

Jeanne Posted Thu 11th of September, 2014 19:25:19 PM

can you provide me an example of a situation that is appropriate for billing 52281? i want to make sure i am coding these correctly.
thanks!

SuperCoder Answered Fri 12th of September, 2014 02:30:05 AM

Sorry, in the last post, in second scenario, I mentioned 53600 incorrectly in place of 52281. The second scenario pertains to the descriptor of code 52281. Please see the revised response below.

If the provider first performs dilation of urethra with a sound dilator and then performs cystoscopy, there are to codes:

53600- Dilation of urethral stricture by passage of sound or urethral dilator, male; initial.

52000- Cystourethroscopy (separate procedure)

However, there is a CCI edit between these code that you may not report 53600 with 52000 and services of 53600 is included in code 52000.

If the provider has first performed cystoscopy and then inserted another instrument through the channel in the scope to dilate the urethra, you may use the following codes.

52281- Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female.

Thanks !!

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