|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.
Cysto with ESWL
Viewed 3316 times since Thu, May 26, 2011
Documentation for EGD Dilatation
Viewed 1343 times since Fri, Apr 29, 2011
PICC Line Removal
Viewed 8126 times since Thu, Dec 2, 2010
Viewed 8463 times since Wed, Dec 26, 2012
Commercial Ins Plans and G0121
Viewed 3516 times since Tue, Jan 25, 2011
Laparotomy With Repair Of Colovesicular Fistula
Viewed 3697 times since Tue, Jun 28, 2011
Apligraf Application CPT Coding
Viewed 4696 times since Tue, Oct 11, 2011
Viewed 7314 times since Tue, Apr 2, 2013
TAP (Transverse abdominus plane) Nerve Block
Viewed 10265 times since Mon, Mar 21, 2011
Viewed 5019 times since Fri, Sep 2, 2011