Step 1. Was case classified as valid case using the Is Case Valid phenotype. If No, mark No. If Yes, proceed to step 2.
Step 2. Was case classified as valid case using the Procedure Type: Intubation Only phenotype. If Yes, mark No. If No, proceed to step 3.
Step 3. Check if the case matches its Primary Surgical CPT with the list of CPT codes below. If yes, proceed to step 5. If no procedure to step 4.
- Surgical CPT: 51065, 51600, 51605, 51610, 51725, 51726, 51727, 51728, 51729, 52000, 52001, 52005, 52007, 52010, 52204, 52214, 52224, 52250, 52260, 52265, 52270, 52275, 52276, 52281, 52282, 52283, 52285, 52290, 52310, 52315, 52320, 52325, 52327, 52330, 52332, 52341, 52342, 52343, 52344, 52345, 52346, 52351, 52352, 52353, 52354
Step 4. Does the case have the following procedure text? If no, mark no. If yes, proceed to step 5.
- Text that contains Cysto, pyelogram, ureter, lithotripsy
Step 5. Does the case have only the following specific text? If yes mark "Cystoscopy Without Another Procedure", If no, proceed to step 6.
- "Cystoscopy"
- "Cysto"
- "Pyelogram"
Step 6. Was the case on any of the following services. If yes, mark No. If no proceed to step 7.
- Ophthalmology
- Otolaryngology
- Neurosurgery
Step 7. Does the predicted Anesthesia CPT = 00870, 00910, 00912, 00914, 00918. If no, proceed to step 8. If yes, go to step 10.
Step 8. Does the case contain CPT codes other the ones listed below? If Yes, mark "Cystoscopy plus another procedure." If no, proceed to step 9.
- Anesthesia CPT: 00870, 00910, 00912, 00914, 00918
- Surgical CPT: 51065, 51600, 51605, 51610, 51725, 51726, 51727, 51728, 51729, 52000, 52000, 52001, 52005, 52007, 52010, 52204, 52214, 52224, 52250, 52260, 52265, 52270, 52275, 52276, 52281, 52282, 52283, 52285, 52290, 52310, 52315, 52320, 52325, 52327, 52330, 52332, 52341, 52342, 52343, 52344, 52345, 52346, 52351, 52352, 52353, 52354
Step 9. Using the Procedure Type: Cardiac phenotype, was the value code 1-4? If yes, return "Cystoscopy plus another procedure." If no, check Procedure Type: Endoscopy if the value code is 1 or 2. If yes, return "Cystoscopy plus another procedure." If no, check Procedure Type: Middle Ear Procedures if the value code is 1. If yes, return "Cystoscopy plus another procedure." If no, proceed to step 10.
Step 10. Does the case have the following procedure text? If no, mark "Yes, Cystoscopy Without Another Procedure." Else, mark "Yes, Cystoscopy plus another procedure."
- Ablation, Ankle, argon, bone, burn, carpel, cautery, circumcision, coag, CO2, dental, excision, extract embolization, debridement, debulking, destruction, fulguration hip, incision, inject , *insert, lysis, placement* port, reconstruction, *removal, repair, resection, revision, sling, strip, transplant, tumor, TURB, TUR-BT, TURP, uterus, vagin, valve, wrist OR
- *Removal, insert, or placement except when the text "stent" is also in the same procedure text.
- Text that begins with arthro-, thoraco-, OR
- Text that ends with -ectomy, -ostomy, -otomy, -plasty