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Wiki Cystoscopy with Vaginal Hysterectomy

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sknapp56

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My physician did a Vaginal Hysterectomy, with A&P repair with cystoscopy. He lists the cystoscopy as diagnostic buy lists no other diagnosis code outside of the ones used for the hysterectomy. His description of the cystoscopy is : We then procedded with diagnostic cystoscopy. The patient had a bladder and urethra mucosa. Indigo Carmine could be seen spilling from both ureteral orifices. We removed the cystoscope and we proceeded with a small posterior repair. With this information I believe the cystoscopy is bundled into the hysterectomy. Cystoscopy code 52000 is not separately reported. I have seen other coders bill it out. Would like your opinions.
 
do you have any ref for this? I was just asked this question and the dr of course wants to code both but I dont code the cysto w/hyster. I can find no edits with coding both.
 
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