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Thread: Cystoscopy with Vaginal Hysterectomy

  1. #1

    Default Cystoscopy with Vaginal Hysterectomy

    AAPC: Back to School
    My physician did a Vaginal Hysterectomy, with A&P repair with cystoscopy. He lists the cystoscopy as diagnostic buy lists no other diagnosis code outside of the ones used for the hysterectomy. His description of the cystoscopy is : We then procedded with diagnostic cystoscopy. The patient had a bladder and urethra mucosa. Indigo Carmine could be seen spilling from both ureteral orifices. We removed the cystoscope and we proceeded with a small posterior repair. With this information I believe the cystoscopy is bundled into the hysterectomy. Cystoscopy code 52000 is not separately reported. I have seen other coders bill it out. Would like your opinions.

  2. #2
    Join Date
    Apr 2007
    Idaho Falls, Idaho


    You are correct. The Cystoscopy is included in the Hyst or A&P
    Tesja Erickson, CPC, CPMA COBGC, CEMC
    The Coding Surgeon
    Medical Documentation & Coding Consultant
    2012 AAPC Idaho Falls Chapter President
    2011 AAPC Idaho Falls Chapter President-Elect

  3. #3


    do you have any ref for this? I was just asked this question and the dr of course wants to code both but I dont code the cysto w/hyster. I can find no edits with coding both.

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