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Thread: ESWL & cystoscopy

  1. #1

    Smile ESWL & cystoscopy

    AAPC: Back to School
    I am not sure whether to bill an ESWL 50590 & a cystoscopy 52000. Its Medicare & the 2 codes are bundle but can use the -59 but not sure if its appropriate. Any imput would be appreciated.

  2. #2


    Does the patient have a sign or symptom to necessitate a reason for the cystoscope? If so, then I would use that as a primary dx and -59 the scope. If the doctor is checking his work to see if the stones cleared, then I would not bill the cystoscope.

  3. #3


    I will check, if I remember correctly he may have had a dx. of hematuria but I will check the chart. Thank you.

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