|Home » Categories » CPT Surgery/APC Coding|
Cystoscopy with Retrograde Pyelogram bilateral
|Article Number: 632 | Rating: Unrated | Last Updated: Mon, Nov 26, 2012 9:11 AM|
I have a question regarding the appropriate coding of these. I have been using the 52005-50 for these.
This message came up when I was trying to code it and now am wondering if I have been doing this incorrectly.
Medicare indicates that the bilateral adjustment is inappropriate for 52005 because either: (a) physiology or anatomy, or (b) the code description specifically states that it is a unilateral procedure and there is an existing code for the bilateral procedure. Any help will be appreciated
Per CPT Assistant, May 2001, Pg 5, there are cystoscopy codes where it would not be appropriate to append a "50" modifier however there are some procedure that can be performed unilaterally where it would be appropriate to indicate that a procedure is performed bilaterally because of the extra work involved. This list includes 52005, 52007 and 52320-52355. If both ureters are catheterized, then it would be appropriate to assign a "50" modifier to 52005.
There are no attachments for this article.
Viewed 160 times since Fri, Aug 19, 2011
Viewed 2935 times since Thu, Dec 2, 2010
Digital Nerve Block
Viewed 8001 times since Thu, Oct 27, 2011
Modifier -33 and -PT
Viewed 3185 times since Wed, May 4, 2011
Modifier PT and Medicare
Viewed 3791 times since Mon, Sep 19, 2011
Ultrasound Guided Fine Needle Aspiration and Core BX
Viewed 10785 times since Mon, Apr 25, 2011
Aspiration of Peritonsillar Abscess
Viewed 5246 times since Tue, Jul 12, 2011
Can Opener Capsulotomy for Cataract Extraction
Viewed 2985 times since Tue, Nov 16, 2010
Modifier PT & 33
Viewed 4106 times since Thu, May 12, 2011
Viewed 9439 times since Tue, Nov 16, 2010