Wiki 52000 or 52310-52?

[tori.a]

Cystoscopy performed,

Bladder: No trabeculation. No tumors. Normal mucosa. Two small stones adherent to prior TUR sites along the posterior wall.. No evidence of cystitis

Notes: Grasping forceps were passed and 2 small bladder stones were freed from the posterior bladder wall and dropped in the bladder base. They should pass easily.

Would it be more appropriate to bill 52000 or 52310-52? Thanks.

 

[julieordway]

Both are good options but I would probably lean towards 52000 since cystoscopy findings were documented and the stones were not removed.