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Thread: cysto and treatment codes

  1. #1

    Default cysto and treatment codes

    AAPC: Back to School

    physician insists 52310 and 52332 were performed as two separate procedures...medicare guidelines show these are bundled...have tried using
    59 modifier..still same denial ..any suggestions?

  2. #2
    Join Date
    Apr 2007
    Mansfield, OH


    I know they list 52310 as a separate procedure, but since the stent was basically being replaced I'm pretty sure you can only use 52332. I always hated those "how things should be paid" vs. reality discussions with my docs. ;-)

  3. #3
    Join Date
    Apr 2007
    Fayetteville, NC


    Were the procedures performed on two separate sites?
    If so you may need to send the procedure notes to Medicare to get paid.
    A. McCormick, CPC, CGSC
    Walters Surgical Associates

  4. #4


    no ..it was one site

  5. #5


    Ok. Thank you...that's what I thought

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