Urology Coding Alert

Question: My urologist performed a cysto, bladder biopsy, fulguration, hydrodistension, and heparin instillation. They then placed the scope in the patient’s bladder without difficulty. The patient had an erythema noted from the right lateral wall to the midline. They performed hydrodistension just to see what the capacity was, and it was 1000 cc. There were some petechiae hemorrhages noted in this area where the erythema was located. A biopsy was taken from the posterior and right lateral walls and sent for analysis. They then fulgurated this area where the biopsy sites were. At this time, no other masses or lesions were noted. Both ureteral orifices were effluxing clear urine. My urologist decided to give the patient heparin instillation with some Solu-Medrol and marcaine. They placed a #16 French Foley. The medicine was left in place for an hour. Which codes should I report on my claim?

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