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Wiki Cystoscopy

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kajalgaonkar16

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PROCEDURES:
1. Robotic-assisted total hysterectomy with bilateral salpingectomy.
2. Cystoscopy.
Is cystoscopy included in the hysterectomy? Or do I need to code it separately? The cystoscopy was performed and the bladder was noted to be normal and intact with vigorous efflux of urine through both ureters.
 
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If the cystoscopy was done to 'check their work' after the hysterectomy, I do not bill it as it is inherent to the main procedure. This is a Medicare NCCI guideline, which most payers follow. If the cystoscopy was done for a diagnostic reason, such as to check for a tumor or to determine source of hematuria, then I would code/bill it. So for your example, I would not code the cystoscopy separately as they were just checking to make sure no damage was done during the hysterectomy.
 
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