tci Part B Insider - 2004 Issue 11

Cystourethroscopy: CCI 10.1 Makes 52281 Component Of Many Cystourethroscopy Codes

Harder to bill for dilation of urethral stricture or stenosis separatelyCPT code 52281 (Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female) became a component of several other cystourethroscopy codes. The column 1 codes with this code are 52007-52010, 52214-52234, 52250-52277, 52282, 52290-52300, 52305, 52317-52330, 52334-52510, 52606, 52614, 52620-52640 and 52700. You can't use a modifier to override these edits. 52281 was already a component of 52235 (Cystourethroscopy with fragmentation of ureteral calculus) and 52240 (cystourethroscopy, with fulguration...LARGE bladder tumors). Often, coders...

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