Urology Coding Alert
Reader Question:
Choose Between 51860 and 51865 for Cystotomy Repair
Published on Tue Nov 13, 2018
Question: A patient underwent laparoscopic sigmoid resection by a general surgeon. Our urologist was called in to repair the intraoperative cystotomy. How do I code this? The urologist performed an open repair. Washington Subscriber Answer: The best option will depend on your documentation – whether the urologist noted the procedure as simple or complicated. Once you determine this, report either 51860 (Cystorrhaphy, suture of bladder wound, injury or rupture; simple) or 51865 (… complicated). If the repair was performed laparoscopically, bill 51999 (Unlisted laparoscopy procedure, bladder). Bench mark the unlisted code to 51860 or 51865 for comparison purposes.
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