AMA CPT® Assistant - 2015 Issue 3 (March)

Surgery: Urinary System (Q&A) (March 2015)

March 2015 page 9d Surgery: Urinary System Question: What code(s) should be reported for cystoscopy with injection of mitomycin C into urethral stricture? We are considering code 52283, Cystourethroscopy, with steroid injection into stricture, and code 53899, Unlisted procedure, urinary system. Answer: Mitomycin C is a DNA crosslinker, rather than a steroid, which is most often used in nonurological stricture disease to decrease restructuring and is specified in code 52283. Therefore, the unlisted code 53899 should be reported. When reporting an unlisted code to describe a procedure or service, it will be necessary to submit supporting documentation (eg, a...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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