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BLADDER TUMOR REMOVAL

Charlene Posted Wed 22nd of May, 2019 21:48:43 PM
My question relates to the article, "Remember These Guidelines When Coding Cystoscopy with Bladder Tumor Resection" in the May 2019, Vol. 21, No. 5 Urology Newsletter. Example 1 says a 5 cm tumor for Medicare would be coded 52240, and example 3 says to code 52240 for private carriers when tumors add up to 5 cm. Why wouldn't 52235 be the correct code in these scenarios since the code's descriptive size is 2.0 to 5.0 cm? It seems to me if the tumor(s) size is 5.1 and larger the correct code would be 52240. Also, I have never understood why the size range for 52235 does not begin with 2.1. If a tumor is 2 cm, what coder wouldn't apply the higher valued 52235 over 52234?
SuperCoder Answered Thu 23rd of May, 2019 09:01:20 AM

Thanks.

SuperCoder Answered Thu 23rd of May, 2019 09:01:33 AM

Hi,

Our team is working on your query and will reply you soon.

Thanks.

 

SuperCoder Answered Fri 24th of May, 2019 07:50:12 AM
Thank you for your patience nbsp As per the information provided by you it is appropriate to use for tumor which have the size up to cm nbsp As the article dates back to almost years there might be some errors kindly overlook the information in the article and please...

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