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Urology Coding Alert

Reader Questions:

Don't Let Unusual Cystoscopic Findings Scare You

Published on Mon Aug 18, 2008

Question: What code should I look at for the cystoscopic laser division of tissue between the trigone and anterior bladder? This patient had a retropubic vesico-urethropexy (Marshall-Marchetti-Krantz procedure) for stress urinary incontinence approximately one year ago.Oklahoma SubscriberAnswer: This unusual bladder abnormality your urologist saw during his cystoscopic examination is most likely secondary to the previously performed retropubic vesicourethropexy. Therefore, you should use 52214 (Cystourethroscopy, with fulguration [including cryosurgery or laser surgery] of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands) for the laser division of this band of tissue between the trigone and anterior bladder wall.
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