• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

cystoscopy, dilation of urethera and bladder neck

daniel

True Blue
Messages
521
Best answers
0
I'd think I would go with CPT 52881 based on what you have listed.

But here's some info on this..


Coding Alert
Reader Questions: Choose BNC Dilation Code Based on Op Note Details





Question: Can I use 52281 for a bladder neck constriction dilation?

Florida Subscriber

Answer: Your coding for a bladder neck constriction dilation will depend on where and how your urologist performed the dilation.

Option 1: If your urologist did the dilation of the bladder neck and also a cystoscopic examination, you can report 52281 (Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female). Use this code whether he did the dilation and cystoscopy in the office under local anesthesia or in the hospital operating room (OR) with spinal or general anesthesia.

Option 2: If your urologist performed the dilation of the bladder neck only, without cystoscopic examination and under local anesthesia, you may choose from the following codes:

• 53600 (Dilation of urethral stricture by passage of sound or urethral dilator, male; initial) and 53601 (…subsequent)

• 53620 (Dilation of urethral stricture by passage of filiform and follower, male; initial) and 53621 (…subsequent).

Option 3: If your urologist performed a bladder neck dilation in the OR under general or spinal anesthesia, use 53605 (Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction [spinal] anesthesia).
 
Top