Can CPT 52005 be billed bilaterally?

–Code 52005 has a zero in the bilateral field (payment adjustment for bilateral procedure does not apply) because the basic procedure is an examination of the bladder and urethra (cystourethroscopy) which are not paired organs.

Can CPT 52204 and 52005 be billed together?

Yes, if the ASC owned the equipment, you would bill with modifier -TC …and there should be an image available somewhere in the chart..

Can CPT code 20550 be billed bilaterally?

Procedure code 20550 is not subject to bilateral surgery rules. Therefore these services should not be billed with procedure code modifier 50 (Bilateral Procedure).

How is CPT code 52005 different from Medicare?

A. Billing rules are different between Medicare and commercial insurers. CPT Code 52005 has a zero in the bilateral field (payment adjustment for bilateral procedure does not apply) because the basic procedure is an examination of the bladder and urethra (cystourethroscopy), which are not paired organs.

Is it inappropriate to Bill code 52005 twice?

Neither is any additional payment made when both ureters are examined and code 52005 is billed with multiple surgery modifier “-51.” It is inappropriate to bill code 52005 twice, once by itself and once with modifier “-51,” when both ureters are examined.

When to report CPT code 52005 for cystourethroscopy?

Note: CPT® Code 52005 should be billed based upon the procedure performed and documentation of the procedure, but should not be billed if included into other procedures.Do not report CPT® code 52005 during diagnostic or therapeutic cystourethroscopy with ureteroscopy and/or pyeloscopy as it is included in CPT® codes 52320-52356.

Do you need to add modifier 50 to bilateral procedure code?

If the code has an indicator of two, it is a bilateral procedure code. You would not need to add a modifier 50 because the code is already bilateral. A code with this indicator lets the insurance company know that both sides were done. Claims will be processed at 100% of the allowable. What does 3 mean?