Urology Coding Alert
Reader Question:
Best Code for Vesicovaginal Fistula Cauterization and Fibrin Injection
Published on Thu Apr 14, 2016
Question: During a cystoscopy, my surgeon used a Bugbee electrode via the cystoscope to cauterize two fistulas in the bladder. He then inserted a long needle through the cystoscope and injected the fistulas with a fibrin glue. What code(s) would be best for this procedure?
Pennsylvania Subscriber
Answer: Submit 52214 (Cystourethroscopy, with fulguration [including cryosurgery or laser surgery] of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands) for the cystoscopic examination and Bugbee electrode cauterization of the fistulas. Then also include 20500 (Injection of sinus tract; therapeutic [separate procedure]) for the injection of fibrin glue.
Related Articles
Other Articles in this issue of
Urology Coding Alert
- Coding Edits:
CCI 22.1 Bundles IV Infusions With Numerous Urology Procedures
You might not use the edits, but you’ll want to be aware. With almost 22,000 [...] - Procedure Focus:
Don't Let Incorrect Denials Sidetrack Your SNS Coding
Stages and modifiers are your keys to success. Patients sometimes are scheduled for sacral nerve [...] - Terminology Resource:
Knowing the Type of Urinary Incontinence Leads to Better Coding
Keep this list handy to distinguish between the types. Urinary incontinence (the involuntary leakage of [...] - ICD-10:
Don't Miss These Expanded Options for Hydrocele Reporting
ICD-10 takes you from 1 to 4 choices. When your urologist diagnoses a hydrocele (a [...] - You Be the Coder:
Release of Suburethral Scar Tissue
Question: Our urologist saw a female patient who had urethral stenosis and scarring after an anterior [...] - Reader Question:
Best Code for Vesicovaginal Fistula Cauterization and Fibrin Injection
Question: During a cystoscopy, my surgeon used a Bugbee electrode via the cystoscope to cauterize two [...] - Reader Question:
File 64774 for Excision of an Inguinal Nerve Neuroma
Question: The urologist excised a neuroma of an inguinal nerve following an ipsilateral hernia repair performed [...] - Reader Question:
Steer Clear of Submitting 50693 With 50080 and 50432
Question: The surgeon performed a left percutaneous nephrostolithotomy, an antegrade left ureteral stent placement, and left [...] - Reader Question:
Multiple Incisions Can Still Mean a Single Code
Question: One of our providers performed what he termed a “hand assisted laparoscopic nephroureterectomy.” He performed [...] - Reader Question:
Follow Documentation Details for Correct Cystotomy Code
Question: The urologist completed an intraoperative consult and then performed a cystotomy during the patient’s Cesarean [...] - Reader Question:
Here's How to Handle the Absence of V64.41
Question: What is the current Medicare stance on a laparoscopic procedure converted to an open procedure, [...]
View All
