Urology Coding Alert

Reader Question:

Capture Prostate Cystogram with 2 Codes

Question: How should I report prostate cyst aspiration, prostate cystogram, and cystoscopy?

Virginia Subscriber

Answer: First, report 10021 (Fine needle aspiration; without imaging guidance) for the aspiration of the prostatic cyst.   Then, code 52000 (Cystourethroscopy [separate procedure]) for the cystoscopy. 

For the radiological portion of the procedure, you should report 72170 (Radiologic examination, pelvis; 1 or 2 views) for the x-ray of the pelvis to view the prostatic cyst filled with contrast material. Finally, choose 96372 (Therapeutic, prophylactic, or diagnostic injection [specify substance or drug]; subcutaneous or intramuscular) for the injection of contrast into the prostatic cyst. 

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