|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.
Evacuation of Hematoma with Ligation of Artery
Viewed 3525 times since Thu, Jun 16, 2011
Fluoroscopy in OR
Viewed 743 times since Mon, Nov 21, 2011
Viewed 6417 times since Thu, Oct 20, 2011
Modifier 74 for Colonoscopy
Viewed 2333 times since Tue, Dec 27, 2011
CPT for Therapeutic Phlebotomy
Viewed 4661 times since Thu, Feb 9, 2012
Replacement of neurostimulator pulse generator
Viewed 1595 times since Thu, Apr 14, 2011
Viewed 5680 times since Tue, Jul 12, 2011
CPT for Sympathetic Nerve Block of the Inferior Hypogastric Plexus?
Viewed 7862 times since Thu, May 19, 2011
Viewed 1629 times since Fri, Aug 17, 2012
Excision Breast Tissue
Viewed 4509 times since Fri, Mar 25, 2011