tci ED Coding & Reimbursement Alert - 2004 Issue 4

Reader Question: Ponder Alternatives to 52310

Question: The physician palpated the patient's flaccid penis, and found a hard area in the tip. The doctor determined the patient had a urethral stone, but could not get it to pass, so he administered morphine and removed it with a pair of forceps. How should I report this?South Dakota Subscriber Answer: You may be best off rolling the work, the risk associated with the procedure, and the intravenous morphine administration (for example, parenteral controlled substances) into an evaluation and management (E/M) code. Code 52310 describes "Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra...

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