CPT^® 53020, Under Incision Procedures on the Urethra

The Current Procedural Terminology (CPT^®) code 53020 as maintained by American Medical Association, is a medical procedural code under the range - Incision Procedures on the Urethra.

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Summary

The provider enlarges the meatal opening by making an incision in it. He performs the procedure in patients over one year of age. He performs the procedure to improve urination.

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Forum

Have a question about CPT Code 53020 ? Start a discussion here

how are 43255 and 53020 E/M? (per the CPC course)

I am reading this in my CPC course, pertaining to CPT code status indicators: [QUOTE] Endoscopies or minor procedures with preoperative and postoperative relative values on the day of the procedure on... [ Read More ]

Meatal dilation, lysis of meatal skin bridge, flexible cystoscopy

I would suggest only billing 53020; 52000 is bundled and this pair cannot be unbundled.... [ Read More ]

Meatal dilation, lysis of meatal skin bridge, flexible cystoscopy

After informed consent, I inspected the meatus and phallus. At this timeframe there appeared to be more of the meatal skin bridge than actual true hypospadias. At this timeframe, the meatus was dilate... [ Read More ]

Meatotomy with cysto

CPT 52000 is primary to 53020. No modifier is allowed. Just go with CPT 52000 in this case.... [ Read More ]

Meatotomy with cysto

If the surgeon did a meatotomy for meatal stenosis and then performed a cysto, can I bill 52281 even though "calibration and/or dilation" was not done? Or do I just bill a 52000 or 53020 instead? I ... [ Read More ]

cystoscopy and incision modifier needed?

53020 is a column 2 code to 52281. You can't bill them together under any circumstance. You can only bill 52281. Hope this helps. Machelle Freeman, CPC... [ Read More ]

cystoscopy and incision modifier needed?

We have a Dr billing a 52281(cystoscopy and treatment) and 53020(incision of urethra) together to medicare. They have paid on the 52281 but keep denying the 53020. I am wondering if a modifier is need... [ Read More ]

need advice on combination of codes

[b]coding edits[/b] procedure codes 54057 and 53020 are not bundled per CCI edits no modifiers are required and if the insurance is Medicare they no longer accept the 51 modifier... [ Read More ]

need advice on combination of codes

I just checked it on Encoder Pro.com and they say it can if you add -51 modifier to 53020. Hope this helps!... [ Read More ]

need advice on combination of codes

Does anyone know if you can bill 54057 with 53020? Thanks for your help.... [ Read More ]

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