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
Aspiration of Peritonsillar Abscess
Viewed 4720 times since Tue, Jul 12, 2011
Digital Nerve Block
Viewed 7054 times since Thu, Oct 27, 2011
Modifier PT for Colonoscopies
Viewed 3787 times since Tue, Mar 8, 2011
Replacement of neurostimulator pulse generator
Viewed 1759 times since Thu, Apr 14, 2011
When To Charge Fluoroscopy (76000) With an OR Procedure
Viewed 19360 times since Mon, Dec 20, 2010
Cysto at Time of Laparoscopic Vag Hyst
Viewed 3248 times since Wed, Jun 15, 2011
Tenolysis in the Wound Care Center
Viewed 1957 times since Tue, Nov 16, 2010
Chondroplasty and Meniscectomy
Viewed 5599 times since Tue, Mar 12, 2013
C-ARM Used in Surger
Viewed 13727 times since Tue, Mar 22, 2011
Port-a-cath Flush And Facility Fee Same Day
Viewed 6744 times since Sat, Jul 2, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506