Mark, Ray and Scott answer 3 questions from the Urology Coding and Reimbursement Group

1. Can CPT code 50386 be done in the office?  The provider wants to remove the stents without cysto  whenever possible as he says it is more comfortable for the pt and less risk of infection.   Does this still need ultrasound guidance to do in the office?  Haven't done one of these before in the office.    Please advise.  Thank you. 
2. Good morning, new to ASC billing for my Urologist.  My doctor performed a TRUS/BX at an ASC and I am billing the facility charge.  For the facility, can I bill CPT 55700 with 76872, 76942, 96372 & J1580.  I have searched on line but unable to find anything relevant.  Please advise
3. Help please.
   Pt had gross hematuria and BPH. Would CPT 52214 be correct or 52601-52?....the resectoscope has me questioning my code choice.....  "...........cystoscope was removed and a 26Fr resectoscope was inserted. Using the bipolar rollerball the entire prostatic fossa was fulgurated. Hemostasis was attained. The resectoscope was removed and a 20fr 3-way catheter was inserted." Doc said TURP but think I'd need him to re-phrase his op note.....no?
   Thank you