Urology Coding Alert
Cystoscopy With Vaginoscopy Lead to 52000 and 57420
Question: The physician performed a cystoscopy and an examination under anesthesia with vaginoscopy. Would the correct coding be 52000 with 57420, and 57410 or would the code for the vaginoscopy be 57452 (per the Index of the CPT® Manual)?
Maryland Subscriber
Answer: The correct coding is 52000 (Cystourethroscopy [separate procedure]) for the cystoscopy and 57420 (Colposcopy of the entire vagina, with cervix if present) for the vaginoscopy.
Explanation: CPT® code 57452 (Colposcopy of the cervix including upper/adjacent vagina) is an examination of the cervix and upper vagina alone as described in CPT® and does not describe an entire examination of the vagina. The examination under anesthesia is bundled into both 52000 and 57420 and cannot be unbundled with any modifier. Therefore, do not bill for code 57410.
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