Can You Bill Catheter Exchange and Injection Procedures Separately?
Question: A patient came in for a Botox injection in their bladder, which happened through their suprapubic catheter. The patient complained that the catheter was leaking and requested an exchange. The provider also exchanged the suprapubic catheter. Can we bill these two services together? Idaho Subscriber Answer: Yes, you can bill the two services on the same claim. Use 52287 (Cystourethroscopy, with injection(s) for chemodenervation of the bladder) to report the bladder Botox injection and assign 51705 (Change of cystostomy tube; simple) appended with modifier 59 (Distinct procedural service) to report the suprapubic catheter exchange. According to the National Correct Coding Initiative (NCCI), these two codes are not bundled together, so you shouldn’t face any issues when reporting them on the same claim. Appending modifier 59 to 51705 indicates that the provider performed the catheter exchange as a separate and independent service on the same day. Mike Shaughnessy, BA, CPC, Production Editor, AAPC
