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  • Use Documentation to Correctly Report Bladder Biopsies and . . . - AAPC
    Familiarize Yourself With Fulguration At times, the urologist may need to perform fulguration during the cystourethroscopy According to the National Cancer Institute (NCI) at the National Institutes of Health (NIH), fulguration is a procedure where the healthcare provider “uses heat from an electric current to destroy abnormal tissue, such
  • Cysto w bx fulguration resection - AAPC
    52204 is for a cysto and one or multple bladder or urethral biopsies It also includes fulguration of a bleeder within the biopsy site 52214 is for fulguration as you have indicated above but does not include a biopsy 52224, 52234, 52235, and 52240 are cystoscopic treatments of bladder tumors based on size
  • Clot Evacuation and Tumor Fulguration : You Be the Coder - AAPC
    If the tumor is large, report 52240 (Cystourethroscopy, with fulguration and or resection of; LARGE bladder tumor[s]) as the primary surgical procedure, since it carries more RVUs (13 71 for a non-facility) than 52001 (7 70) The CPT Codes for treatment of smaller bladder tumors have fewer RVUs than 52001, so they would become the secondary
  • Is This Biopsy Mistake Costing Your Practice Hundreds? - AAPC
    Don't forget: Use 52214 (Cystourethroscopy, with fulguration [including cryosurgery or laser surgery] of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands) for fulguration of a bleeding vessel(s) in the bladder, such as in a case of radiation cystitis (no biopsy) or the treatment fulguration of a Hunner's ulcer associated
  • Wiki Clot evacuation with fulguration (52214 and or 52001?) - AAPC
    Indications for procedure: The patient presents with gross hematuria presumed to be from radiation cystitis They present today for cystoscopy, fulguration, and clot evacuation Description of procedure: The patient was taken to the operating room, placed in supine position on the operating table
  • Wiki Bladder Bx, Fulguration, Hydrodistention and Instillation? - AAPC
    PROCEDURE PERFORMED: Cysto, bladder biopsy, fulguration, hydrodistention, and heparin instillation ANESTHESIA: General DETAILS OF PROCEDURE: The scope was placed in the bladder without difficulty The patient had erythema noted from the right lateral wall to the midline We did hydrodistention just to see what the capacity and was 1000 cc
  • Wiki Appropriate code for fulguration of endometriosis? - AAPC
    Fulguration of endometrosis i have found code 58660 for laparscopic fulguration of (endometriosis) adhesions defined by ingenix endcoder pro as : The physician performs a laparoscopic surgical cutting releasing (lysis) of scar tissue (adhesions) surrounding the ovaries and or fallopian tubes with the assistance of a fiberoptic laparoscope
  • Answers to Your Top-4 TURP Coding Questions - AAPC
    For a TURP bleed, a surgeon may consider billing 52606 (Transurethral fulguration for postoperative bleeding occurring after the usual follow-up time), Cwiklinski says However, the descriptor for 52606 states, occurring after the usual follow-up time "I wouldn't consider two days to be usual follow-up time," Cwiklinski says
  • Clot Evacuation and Fulguration at Bladder Neck : You Be the Coder - AAPC
    Append modifier 59 (Distinct procedural service) to bypass the edit with 52214 (Cystourethroscopy, with fulguration [including cryosurgery or laser surgery] of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands) Report 52001 as the primary operation since this is the higher-paying procedure
  • Wiki cystoscopy with clot evacuation and fulgration-I am new at - AAPC
    -For transurethral fulguration of prostate for postoperative bleeding performed by the same physician, append modifier 78) Also, you should check with 52000, 52001 or 52002 and compare with your record that will make clear





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