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Cystourethroscopy and Foley Catheter placement

Help! I feel like I should easily know this yet I am struggling.

What would the CPT be for Cystourethroscopy and Foley catheter placement?

Doctor used flexible cystoscope to enter the patients urethra and bladder. Placed a wire in to the bladder under direct visual guidance and then backed up the cystoscope over that wire and placed an 18-French Council tip catheter.

TIA
KAM

Medical Billing and Coding Forum

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
!!!

Medical Billing and Coding Forum

How to code cystourethroscopy with two lesions removed

Hello fellow coders,

I am very unfamiliar with coding this particular specialty. Please help me if you can.

Scenario: Cystourethrocopy with two lesions removed from different locations in bladder. One is 1.6 cm bladder tumor of the lateral wall. The other is 0.9 cm in the anterior wall. What coding rule applies? :confused:

a. Code the cystourethrocopy only.
b. Code using two CPT codes with modifier 59.
c. Code the largest tumor only.
d. Code using two CPT codes.

Thanks for your help with this! :)

Respectfully,

Charity

Medical Billing and Coding Forum

Cystourethroscopy with two lesions removed

Hello fellow coders,

I am very unfamiliar with coding this particular specialty. Please help me if you can.

Scenario: Cystourethrocopy with two lesions removed from different locations in bladder. One is 1.6 cm bladder tumor of the lateral wall. The other is 0.9 cm in the anterior wall. What coding rule applies? :confused:

a. Code the cystourethrocopy only.
b. Code using two CPT codes with modifier 59.
c. Code the largest tumor only.
d. Code using two CPT codes.

Thanks for your help with this! :)

Respectfully,

Charity

Medical Billing and Coding Forum