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, and when performed bilaterally, modifier -50 is used, indicating a bilateral procedure. The ICD-10-CM codes N40.0 for benign prostatic hyperplasia and N13.30 for unspecified hydronephrosis accurately reflect the diagnosis and condition leading to the procedure.

An Elderly Gentleman Has Worsening Bilateral Hydronephrosis