CPT Knowledgebase - Sep 1, 2006
Would it be appropriate to report code 52260, Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia, for cystoscopy with hydrodilation of the bladder procedure as illustrated in the following operative procedure report? Or would it be more appropriate to report the unlisted code 53899? Operative Procedure: The patient's urethra was calibrated and was found to accept a #26 french sound without difficulty. The 21 french cystoscope was passed into the bladder. The urethra itself exhibited no evidence of strictures or neoplasms. There was some mild inflammatory change noted in the proximal urethra and at the level of the bladder neck. Both orifices were normal, and clear efflux was seen bilaterally. Reinspection of the bladder interior with the right angle lens revealed no further abnormalities. The patient's bladder was filled to capacity, which was 800 cc. She was decompressed and reinspection of the bladder interior did not reveal any submucosal petechiae or glomerulations. She was refilled to capacity. The second time she was able to hold 1000 cc. She was drained and once again reinspection failed to reveal any petechiae or glomerulations. The bladder was drained for a final time and all instruments were removed. There is no conclusive evidence at this time that she has interstitial cystitis.To view the Official AMA answer and 1000s more like this:
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