As a certified medical coder with 12+ years in urology billing, I’ve seen even seasoned coders trip over cystoscopy CPT code. Why? From 52000 (diagnostic) to 52204 (bladder biopsy), each code hinges on documentation specifics, and one missed detail can trigger denials.
Let’s simplify cystoscopy medical coding with real-world examples, 2025 updates, and billing hacks.
A cystoscopy examines the bladder/urethra using a scope. The CPT code depends on:
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No! It’s diagnostic. Surgical cystoscopy (e.g., biopsy) uses codes like 52204.
Use 57288 (sling) + 52000 (diagnostic cysto) if done separately.
CPT 52234 + 0444T (blue light) – but check payer policies.
Only if cystoscopy is unrelated to the hysterectomy (modifier 59).
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