Advanced Search

Urology Coding Alert

You Be the Coder:

Open Urethral Biopsy, Cystoscopy at the Same Encounter

Published on Thu Jan 15, 2015

Question: Our urologist performed a cystourethroscopy with urethral biopsy. The biopsy was performed via open approach, not through the cystoscope. We coded 52000 and 53200 using 595.2 and 223.81. The payer disallowed 52000 as bundled. Do you agree with this adjudication? Is there a more appropriate single code for this procedure? New Hampshire Subscriber Answer: You are billing correctly with 53200 (Biopsy [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Urology Coding Alert

View All