Wiki Cystoscopy with bladder washing

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If you perform washings from the kidney via ureteral catheters, use 52005 (cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service). If you do washings only from the bladder without cystoscopy, use 51700* (bladder irrigation, simple, lavage and/or instillation). With cystoscopy, I'd only use 51700. Since this was the intent, and based on the following.

MEDICARE NATIONAL CORRECT CODING INITIATIVE POLICY MANUAL

CPT code 51700 (Bladder irrigation, simple, lavage and/or instillation) is used to report irrigation with therapeutic agents or as an independent therapeutic procedure. It is not separately reportable if bladder irrigation is part of a more comprehensive service, such as to gain access to or visualize the urinary system. Irrigation of a urinary catheter is included in the global surgical package. CPT code 51700 shall not be misused to report irrigation of a urinary catheter.
 
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daniel said:
If you perform washings from the kidney via ureteral catheters, use 52005 (cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service). If you do washings only from the bladder without cystoscopy, use 51700* (bladder irrigation, simple, lavage and/or instillation). With cystoscopy, I'd only use 51700. Since this was the intent, and based on the following.

MEDICARE NATIONAL CORRECT CODING INITIATIVE POLICY MANUAL

CPT code 51700 (Bladder irrigation, simple, lavage and/or instillation) is used to report irrigation with therapeutic agents or as an independent therapeutic procedure. It is not separately reportable if bladder irrigation is part of a more comprehensive service, such as to gain access to or visualize the urinary system. Irrigation of a urinary catheter is included in the global surgical package. CPT code 51700 shall not be misused to report irrigation of a urinary catheter.
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Daniel, I noticed you changed your response. Do you agree with me then that we would only bill the 52000 in this situation?
 
I agree. With you

But I personally would check the intent.


If 52000 was done to facilitate 51720 (inject). Then I’d just code 51720.

If they really are doing a 52000 cysto, then injecting 51720. Then I’d say not allowed to report 51720 with.

Great job on pointing out the NO on 59. That’s what I get when I was freestyling, and getting my first response wrong………it’s there in Black and White in the Medicare manuel and when you run the codes in the CCI edits.



Hope this helps
 
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