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Urology Coding Alert

Reader Question:

52260 Doesn't Require IC Diagnosis

Published on Mon Feb 13, 2012

Question: Can you offer some help regarding the use of CPT 52260 even when the pathology report from biopsies during the same session indicated patient had other chronic and acute cystitis (not interstitial cystitis). Our surgery center was evidently dinged on this by an auditor. The patient's post-operative diagnoses were dysfunctional voiding and interstitial cystitis with Hunners' ulcer. In fact my urologist was so sure the patient had interstitial cystitis that he administered dimethyl sulfoxide (DMSO), hydrocortisone, and Heparin before the patient left the operating room and dictated that if she didn't show some remission of symptoms following this one instillation, she would be scheduled for 8 weeks of DMSO in the office. The path report diagnosis came back as acute and chronic cystitis. Given this information, are we correct in reporting 52260?Indiana SubscriberAnswer: You are correct in reporting 52260 (Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or [...]
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