Urology Coding Alert

Question: A patient presented with a penile ring or device that encircled the penis producing edema that prevented its simple removal. The patient was taken directly to the operating room, and using a diamond tipped blade saw the urologist cut the ring off. The urologist then performed a cystoscopic examination and a penile Doppler to check for internal damage. Do I count the cystoscopy as part of the procedure code or bill it out separately? Also, is 55899 the code to use for the penile ring removal? My diagnosis codes are 607.83, 959.14, and E928.5.Kansas SubscriberAnswer: Since there is no specific code for the cutting of a metal ring around the penis that causes penile edema, which restricts simple removal, use code 55899 (Unlisted procedure, male genital system) for the cutting of the ring and its removal. Also code 52000 (Cystourethroscopy) and 93980 (Duplex scan of arterial inflow and venous [...]