AAPC - Back to school
Results 1 to 2 of 2

Thread: gyn surgery question

  1. #1

    Default gyn surgery question

    AAPC: Back to School
    Patient has a cystourethroscopy and then a total hysterectomy. Code both? I got 58150 and 52000. What do you think?

    Thank you


  2. #2



    Cystoscopy (52000) is often performed during or following a primary procedure in order to ensure proper placement of for example, surgical sutures and to ensure that the urethra and bladder have not been perforated. Since cystoscopy is considered clinically integral to the successful outcome of the primary procedure it is not reported separately.

    However, when this service is performed for a medically necessary reason it may be reported separately. While not required, it may help payers to better understand the medical necessity of performing a cystoscopy (52000) if it is linked to a different ICD-9 code (when appropriate) than the one used for the primary procedure.

    Further, the modifier -59 (distinct procedure) should be appended to code 52000. In this instance, the modifier -59 indicates that code 52000 was not performed as a component of the primary procedure and should be recognized as being distinct and separately reportable.

Similar Threads

  1. Gyn surgery question
    By abbymsnyder in forum OB/GYN
    Replies: 0
    Last Post: 11-13-2014, 12:35 PM
  2. Gyn Surgery question
    By sandy61 in forum OB/GYN
    Replies: 0
    Last Post: 09-27-2013, 01:14 PM
  3. another gi/gyn surgery coding question
    By hotmailmary@hotmail.com in forum General Surgery
    Replies: 2
    Last Post: 01-15-2010, 10:28 AM
  4. gyn ca surgery coding question
    By hotmailmary@hotmail.com in forum OB/GYN
    Replies: 0
    Last Post: 01-14-2010, 07:32 PM
  5. OB/GYN Surgery Coding Question
    By Missy40 in forum OB/GYN
    Replies: 5
    Last Post: 10-01-2008, 11:39 AM

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.