Cherie Posted Sat 04th of April, 2015 09:53:55 AM
My doctor, "replaced the cystoscope and obtained two biopsies from the bladder from some abnormal areas, I then fulgurated the area which was about 2cm in size." He wants to code 52235. Would this be appropriate or do we use 52204? Thank you!
SuperCoder Answered Mon 06th of April, 2015 01:12:42 AM
CPT code 52235 is for Cystourethroscopic fulguration and/or resection of MEDIUM bladder tumor(s) of size greater than 2.0 cm and less than and equals to 5.0 cm.
If your doctor, fulgurates the tumor of size 2.0 cm, you should bill CPT code 52234 and if he performed biopsies and did fulguration for coagulation purpose only, use CPT code 52204.