kmdnine
Contributor
The patient presents to the urologist's office for his routine followup following a TURP. During his office visit, he complains of post-op dysuria and urge incontinence. The provider does a cystoscopy to see if everything is healing ok. I deleted the 52000 and changed it to 99024 and was told I was incorrect; that I should have coded it as 52000-58. My auditor's stance was that this was a diagnostic procedure done during the global to evaluate complications of the procedure. My logic is that dysuria and urge incontinence are normal sequelae of this type of procedure and not complications. Therefore, doing a cystoscopy during a routine post-op followup is not billable.
This morning I ran across a similar situation. The provider is billing 52310 for a stent pull during the global of a 51565. Now I'm thoroughly confused as to what is billable and what isn't.
This morning I ran across a similar situation. The provider is billing 52310 for a stent pull during the global of a 51565. Now I'm thoroughly confused as to what is billable and what isn't.