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 to indicate that the procedure was performed bilaterally. The ICD-10-CM codes are N40.0 for benign prostatic hyperplasia (BPH) and N13.30 for unspecified hydronephrosis, which align with the patient's diagnosis of gross prostatic hyperplasia causing bilateral hydronephrosis.

An Elderly Gentleman Has Worsening Bilateral Hydronephrosis