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  • Select Codes for Bladder Tumor Removal Based on Size, Carrier
    Learn why you can't report more then one code using modifier 22 You may think it's logical that if your urologist removes more than one bladder tumor you should base your coding on the size and number of tumors But logical or not, Medicare makes it clear that you're not coding correctly if you report more than one removal code or add up the sizes of the individual tumors Know Your Options
  • CPT® Code 52235 - Urethra and Bladder Transurethral Surgical . . . - AAPC
    The Current Procedural Terminology (CPT ®) code 52235 as maintained by American Medical Association, is a medical procedural code under the range - Urethra and Bladder Transurethral Surgical Procedures
  • Mitomycin and TURBTs? | Medical Billing and Coding Forum - AAPC
    I see plenty of coding advice from Urology Assoc and Codify, etc that say the mitomycin -C instillation (51720) would need to be performed at a separate encounter (recovery room, etc), than the TURBT (52224-52240) to unbundle
  • Urethral Tumor Removal Warrants TURB Code : Reader Question - AAPC
    I performed transurethral resection (< 2 cm) of this lesion Would I code a TURBT code or a different code? Tennessee Subscriber Answer: As tumor resection codes are placed in the CPT® manual under the major heading of bladder and urethra, you should use the bladder resection codes for urethral tumors The prostatic urethra is part of the urethra
  • How to Bill TURBT with Retrograde Pyelogram - AAPC
    For the TURBT, use 188 x (malignant neoplasm of bladder) The diagnosis code for the pyelogram is determined by the reason for the procedure Examples of -59 Use According to Ferragamo, one circumstance that justifies appending modifier -59 is if the urologist performs a bladder tumor removal and there is also a stone in the ureter
  • Can You Report 52234-52240 For a TURBT Procedure? : Urology Coding - AAPC
    Can we use a transurethral resection of bladder tumor (TURBT) code to report this procedure? Kansas Subscriber Answer: Yes, you can use a code for a TURBT procedure The urologist biopsied a tumor inside the patient’s bladder, which fulfills what you have described in the urology report
  • Cut Through the Bladder Tumor Removal Coding Confusion - AAPC
    Key: Size does matter when it comes to bladder tumors Your urologist removes multiple bladder tumors during one session You should report multiple codes, right? Not so fast You need to review your physician's documentation and pay attention to which payer you're reporting the procedure to before choosing your codes Follow these expert pointers and you're sure to code right every time
  • Dive Into This Bladder Tumor Scar Scenario : Reader Questions
    You should report the TURBT code 52235 (Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and or resection of; MEDIUM bladder tumor (s) (2 0 to 5 0 cm)) for this clinical scenario Your ICD-10 code would be D49 4 (Neoplasm of unspecified behavior of bladder), path pending


















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