Home » Categories » CPT Surgery/APC Coding

Cystoscopy with Retrograde Pyelogram bilateral


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.

Disclaimer: All articles intended for general consumption only and not as a recommendation for a specific situation. Readers should consult an official source (AHA, AMA, etc.) or a qualified attorney for specific legal guidance.
Attachments Attachments
There are no attachments for this article.
Related Articles RSS Feed
One Inch Laceration
Viewed 2502 times since Fri, May 27, 2011
Non-Incisional Foreign Body Removal
Viewed 4640 times since Tue, Sep 25, 2012
Dental Blocks
Viewed 15739 times since Tue, Feb 8, 2011
Coronary Angiography
Viewed 3407 times since Wed, Feb 16, 2011
Injection for G Tube Placement
Viewed 7802 times since Wed, Jul 27, 2011
Viewed 5917 times since Tue, Jul 12, 2011
EGD with Foreign Body Removal Esophagus
Viewed 7666 times since Thu, Apr 21, 2011
Can Opener Capsulotomy for Cataract Extraction
Viewed 2939 times since Tue, Nov 16, 2010
IUD Removal
Viewed 8397 times since Wed, Jun 15, 2011
Polyp Removal With Monopolar Cautery
Viewed 2344 times since Tue, Nov 16, 2010
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506