Urology Coding Alert

Reader Question:

Stick with 51700 for Clot Irrigation

Question: If a provider does a bladder irrigation through a SP tube for multiple obstructing clots, what should I report?

Oregon Subscriber

Answer: You should report 51700 (Bladder irrigation, simple, lavage and/or instillation) for this procedure. 

Use ICD-9 diagnostic codes 596.89 (Other specific disorders of the bladder, bladder hemorrhage…) for the clot retention. Also, attach 599.71 (Gross hematuria). 

If your urologist performed the bladder irrigation and a cystoscopic examination, you should also bill 52001 (Cystourethroscopy with irrigation and evacuation of multiple obstructing clots).

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