CPT^® 52281, Under Urethra and Bladder Transurethral Surgical Procedures

The Current Procedural Terminology (CPT^®) code 52281 as maintained by American Medical Association, is a medical procedural code under the range - Urethra and Bladder Transurethral Surgical Procedures.

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Summary

The provider performs a cystourethroscopy, inspection of the bladder's interior, the urethra, the prostatic urethra, and the ureteric openings using a cystoscope passed through the urethra and into the bladder. In the procedures represented by CPT codes 52281 and 52282, the physician dilates a urethral stricture and may perform a meatotomy (make an incision in the urethral meatus) or inject contrast material for radiological study.

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Need help with denial

What is the denial? Medical necessity, modifier, etc.? We need more information here. Also add the insurance. [QUOTE="ecushing, post: 511825, member: 699355"] We billed 57265, 58260, 57288, 52281 and ... [ Read More ]

Need help with denial

We billed 57265, 58260, 57288, 52281 and 57110, with 57110 getting denied. Similar Dx codes for other procedures which were paid.... [ Read More ]

Urogynecology denial

Kind of hard to help without note. The 57260 is anterior posterior repair-which means cystocele and rectocele. But you said no rectocele was done but a perineorrhapy was. Was a cystocele repair done ... [ Read More ]

Balloon Dilation of Prostatic Urethra?

There is no present CPT code for dilating the prostatic urethra with a cystoscopy and a balloon dilator. The company who makes the balloon dilator may be able to give you a code. Otherwise, I would su... [ Read More ]

Urogynecology denial

57425, 57423, 58571, 57288, 52281, 56800 were coded. 57423 was denied, and insurance is trying to recoup payment on 56800 saying repair of introitus was not performed, rather a perineorrhaphy. Looki... [ Read More ]

52281 vs 53010?

Hello all. Can anyone help with this scenario? I am leaning towards 52281 because the provider also used dilators after incising the strictures; but we authorized 53010. Someone else suggested 5227... [ Read More ]

Urethral Realignment, Cystoscopy, & Difficult Foley?

I agree with 52281-22... [ Read More ]

Urethral Realignment, Cystoscopy, & Difficult Foley?

How would you code this? I'm thinking 52281-22? Thank you! POSTOPERATIVE DIAGNOSIS: 1. Urethral disruption, status post traumatic Foley removal. 2. History of prostate cancer, status post robot... [ Read More ]

Cysto w/ passive dilation

Hello all, My providers are pushing back on whether we should be billing a "passively dilated urethral stricture". Here's the documentation from the office note: [ATTACH type="full"]5468[/ATTACH] [AT... [ Read More ]

52285 vs 52281?

52285 includes several procedures in treatment of the female urethral syndrome which in my mind has never been completely defined. Therefore, I always use 52281 and not 52285 for endoscopy and urethra... [ Read More ]

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