tci Outpatient Facility Coding Alert - 2015 Issue 10

You Be the Coder: Know How to Report in Case of Separate Organs

Question: The doctor injected Botox in the patient’s bladder wall and then injected two syringes of Durasphere at the 8 o’clock and 4 o’clock positions at the mid-urethra. Would 52287 be reported separate because there were two different locations at the bladder and the urethra or are they considered bundled? Texas Subscriber Answer: In this clinical scenario, first report 51715 (Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck) for the injection within the mid-urethra.  Then, report 52287 (Cystourethroscopy, with injection[s] for chemodenervation of the bladder) for the Botox...

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