Medical Codes to Report Cystitis – A Common Bladder Infection

2. Medical Codes to Report Cystitis – A Common Bladder Infection A common urology disorder, cystitis refers to inflammation of the bladder wall. The condition usually occurs among women. Cystitis can be either acute (a sudden inflammation) or chronic (a long-lasting inflammation that affects multiple layers of the bladder tissue). If untreated, the condition can lead to a chronic infection that will spread to the kidneys. Urologists need to report the appropriate diagnosis code on a claim form to support the medical necessity for the service and tell the payer why it was performed. An experienced urology medical billing company can help physicians submit claims with the correct diagnosis and procedures codes for appropriate reimbursement. Medical Codes to Report Cystitis ICD-10 Diagnosis Codes Diagnosis of cystitis involves a urinalysis to detect the infection in the urine and the type of bacteria causing it. Diagnosis tests like cystoscopy, X-ray and ultrasound may also be done to find the exact cause of the inflammation. ICD-10 codes for cystitis include – •N30 Cystitis •N30.0 Acute cystitis •N30.00 …… without hematuria •N30.01 …… with hematuria •N30.1 Interstitial cystitis (chronic) •N30.10 …… without hematuria •N30.11 …… with hematuria •N30.2 Other chronic cystitis •N30.20 …… without hematuria •N30.21 …… with hematuria •N30.3 Trigonitis •N30.30 …… without hematuria •N30.31 …… with hematuria •N30.4 Irradiation cystitis •N30.40 …… without hematuria •N30.41 …… with hematuria •N30.8 Other cystitis •N30.80 …… without hematuria •N30.81 …… with hematuria •N30.9 Cystitis, unspecified www.outsourcestrategies.com (800) 670-2809

3. •N30.90 …… without hematuria •N30.91 …… with hematuria CPT Codes •52000 Cystourethroscopy (separate procedure) •52001Cystourethroscopy with irrigation and evacuation of multiple obstructing clots •52005 Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; •52007 Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis •52010 Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service •52204 Cystourethroscopy, with biopsy(s) •52214 Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands •52224 Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy •52234 Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) •52235 Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) •52240 Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) •52250 Cystourethroscopy with insertion of a radioactive substance, with or without biopsy or fulguration •52260 Cystourethroscopy, with dilation of the bladder for interstitial cystitis; general or conduction (spinal) anesthesia •52265 Cystourethroscopy, with dilation of the bladder for interstitial cystitis; local anesthesia •52270 Cystourethroscopy, with internal urethrotomy; female •52275 Cystourethroscopy, with internal urethrotomy; male •87086 Culture, bacterial; quantitative colony count, urine •87088 With isolation and presumptive identification of each isolate, urine www.outsourcestrategies.com (800) 670-2809

4. •87186 – Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate •87184 – Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents HCPCS Codes •P7001 Culture, bacterial, urine; quantitative, sensitivity study •J1212, Injection, DMSO, dimethyl sulfoxide, 50%, 50 ml Cystitis occurs when bacteria enter the bladder or urethra and begin to multiply, causing urinary tract infection (UTI). Women are more prone to the condition because of their physical anatomy. Other causes include the use of certain medications, radiation therapy, ongoing use of a catheter, and irritating hygiene products. Medical billing and coding for urology disorders can be complex. Availing the services of a professional medical billing company can help urologists assign the correct codes in conjunction with procedure information on claims to support the medical necessity for the service for appropriate reimbursement. www.outsourcestrategies.com (800) 670-2809