An elderly gentleman has worsening bilateral hydronephrosis. He did not have much of a postvoid residual on bladder scan. He is taken to the OR to have a bilateral cystoscopy and retrograde pyelogram. The results come back as gross prostatic hyperplasia. Select the appropriate CPT and ICD-10-CM codes:

Question

Quizplus · Accepted Answer

The correct CPT code for a cystoscopy with retrograde pyelogram is 52005. The modifier -50 is used for bilateral procedures, which is appropriate in this case since the procedure was performed on both sides. The ICD-10-CM codes are N40.0 for benign prostatic hyperplasia (BPH), which is the diagnosis of gross prostatic hyperplasia, and N13.30 for unspecified hydronephrosis, which matches the patient's condition of worsening bilateral hydronephrosis.

An Elderly Gentleman Has Worsening Bilateral Hydronephrosis