Wiki How to code cystourethroscopy with two lesions removed

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Charity Evans

Charity Evans

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Cystourethroscopy with two lesions removed

Hello fellow coders,

I am very unfamiliar with coding this particular specialty. Please help me if you can.

Scenario: Cystourethrocopy with two lesions removed from different locations in bladder. One is 1.6 cm bladder tumor of the lateral wall. The other is 0.9 cm in the anterior wall. What coding rule applies? :confused:

a. Code the cystourethrocopy only.
b. Code using two CPT codes with modifier 59.
c. Code the largest tumor only.
d. Code using two CPT codes.

Thanks for your help with this! :)

Respectfully,

Charity
 
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Cystourethroscopy with two lesions removed

Hi,

I think we will code it as a cystourethrocopy with removal of largest tumor only.
 
I would pick (C).

When looking at NCCI edits I found that using two Cystourethroscopy codes together for bladder tumor removal will bundle or be inclusive to the other. So coding the largest tumor would be the correct choice.
 
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