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Thread: Urology

  1. #1

    Question Urology

    AAPC: Back to School
    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,

    Last edited by lisam; 08-29-2008 at 09:52 AM.

  2. #2
    Join Date
    Apr 2007
    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. #3


    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
    Join Date
    Apr 2007

    Default Botox

    Actually, the AUA instructs one to use code 53899.

  5. #5
    Join Date
    Apr 2007
    Woodbridge, VA


    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

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