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Urology Coding Alert

Reader Question:

Performing a Cystoscopy

Published on Mon Oct 01, 2001

Question: When we perform a cystoscopy with bilateral ureteral catheterization, must we deduct the base code for the cystourethroscopy? How do we get paid for both catheters?
                                             
New Jersey Subscriber  
 
Answer: Code 52005 is used to report cysto-urethroscopy with ureteral catheterization. CPT and Medicare disagree about bilateral billing for this procedure. CPT states that bilateral billing is appropriate, while Medicare states that since the RVUs were established to encompass catheterization of both ureters, bilateral billing does not apply.
     
Regarding deducting the fee for the base code, in this instance 52005 is the base procedure. Therefore no reduction in fee is required based on the special rules for cysto-endoscopy billing. Code 52005 is considered the base procedure for 52320-52334 and 52341-52344.
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