Question: When my urologist documents “cysto with dilatation of submeatal stenosis,” what code(s) should I report?
Answer: For this procedure, report 52281 (Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female). Attach diagnosis code 598.00 (Urethral stricture due to unspecified infection, [ICD-10: N35.112-N35.12, depending on the type of stricture]).
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