Urology Coding Alert
Performing a Cystoscopy
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.
Urology Coding Alert
- Impotence:
Payment Differs for Workups
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Performing a Cystoscopy
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retroperitoneal exploration
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