Wiki cpt code 52000

[alw0901]

When billing 52000 with 58571 is it appropriate to use modifier 51 or modifier 59?

 

[csperoni]

My first question would be WHY was the 52000 cystoscopy performed. 99% of the time, during a laparoscopic hysterectomy, the surgeon will perform a cystoscopy just to ensure there was no bladder injury during the surgery. A cystoscopy to check your work is not billable. If there was a documented MEDICAL INDICATION for the cystoscopy, that would be billable. 58571 and 52000 are NCCI edits that may be overridden with a modifier. IF APPROPRIATE, -59 is a possible modifier, or the more updated -X___ modifiers.