Wiki Urine Collection during Cystourethrscopy

[amoneill118]

Wondering if anyone can help me with this. I'm brand new to urology coding and in one procedure note the urologist is documenting the collection of urine following a cystourethroscopy. The pathology report indicates a malignancy. Would the collection of urine during a cystourethrscopy be considered a biopsy? If not, is there any additional service he can bill besides 52000? He states, "rigid cystoscope was introduced into the urethra and advanced under direct vision. A sample of urine was aspirated from the bladder via the cystoscope and ssent to cytology." TIA of any input anyone can offer.

 

[Katyatbeach]

No you can not charge anything additional for that collection. Of course, if you run a UA on it you can charge for that but that is all.