Results 1 to 5 of 5

Urology-Need assistance

  1. Question Urology-Need assistance
    Medical Coding Books
    Need assistance with a Operative report for Urology.

    The procedure states a cystoscopy with a botox A injection (200 units).

    Notes from the report state that the ureteral orifices were identified. Injections were begun at the trigone followed by the floor and up to the sidewall degree.

    Is there a code to use with the cyctoscopy and botox?

    Should I use the 52000 with a unlisted code of 53899?

    Thank you,


  2. #2
    Duluth, Minnesota
    not my area of expertise but I'd code the cysto - 52000 along with the ICD-9 procedure code (volume 3) for the injection of the botox. (I'm assuming someone enters all the Jcodes used)
    I don't believe 53899 should be used for the injection of the botox, it's "just" an injection - however it's delivered will determine your ICD-9 procedure code.
    {that's my opinion on the posted matter}

    I'm not finding an ICD-9 procedure code (yet) - but I still say, 53899 would not be appropriate....
    Last edited by dmaec; 08-29-2008 at 11:01 AM. Reason: looking for the ICD-9 procedure code...
    Donna, CPC, CPC-H

  3. Default
    Hi Lisa,

    I'm not sure if this will help but you might want to check CMS for an LCD. I'm in North Carolina and the LCD lists CPT codes for the injection...for example with a dx of 596.54 we use CPT 64640. You can only bill the code once no matter how many injections but the reimbusement in NC is around $200.00.

  4. #4
    Default Botox
    Actually, the AUA instructs one to use code 53899.

  5. #5
    There is no specific CPT code for injecting the bladder with Botox, so you would use 53899. I don't know if you have acces to the Urology Coder's Pink Sheet, but they have had several issues where they address the injection of Botox. (e.g., June 2007, July 2007 issues) Since you are using type A Botox, are you billing J0585? Also, the diagnosis used can determine whether or not you will receive payment for 53899.

    Zaida, CPC
    Northern Virginia Urology

Similar Threads

  1. Urology
    By Swilliams722 in forum Auditing General Discussion
    Replies: 0
    Last Post: 03-02-2012, 05:31 PM
  2. New to Urology
    By tbartram in forum Urology
    Replies: 1
    Last Post: 09-15-2011, 11:06 AM
  3. New to Urology
    By rhedges in forum Urology
    Replies: 3
    Last Post: 06-22-2011, 10:58 AM
  4. urology coding help, new to urology
    By kerileigh in forum Urology
    Replies: 2
    Last Post: 06-09-2011, 11:37 AM
  5. Urology
    By lisam in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 11-14-2008, 10:02 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.