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confirmation needed if we can use modifier 59 – Cystourethroscopy

Patient had a cystourethroscopy done showing normal bladder mucosa, no tumors, stones, or other lesions, no injury to bladder from a recent surgery (out of the global) good bilateral efflux from the ureters.

the cystoscope was removed and a stortz injection scope was used for the macroplastique injection (which was the end goal here).

Am I able to code the diagnostic cystoscope 52351 and the injection scope 51715 with a 59?

I could not find instructions in the CPT code book. I would like to use the 59 but I suspect because the end goal was the macroplasticque injection and the diagnostic was a prerequisite to having it done I believe we may only code the 51715.

Please let me know what opinions are out there, thank you
!!!

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