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Wiki Ureteroscopy, brush bx

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GRANNAN

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Procedure peformed was cysto, ureteroscopy & brush bx & irrigation (ureter)
52007 specifiys the type of biopsy, but does not include the ureterscopy; 52354 is with urteroscopy & bx. does anyone have opinion on which code is the most approriate?
 
I would go with 52354 since it includes the ureteroscopy and a biopsy and doesn't specify a certain type of biopsy. I also read something recently on Urology Coding Alert that said you can use 52354 for renal pelvic washing for cytology with ureteroscopy, so that's what I would use.
 
Brushing (Brush Biopsy) of upper tract, e.g. ureter, if not using ureteroscopy = CPT 52007. If using ureteroscopy = CPT 52354. Pathology report should also have biopsy results.
 
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