Wiki Cysto w/ bx/fulguration/resection

[jcrahan13]

I need some major clarification for these CPT codes... 52204 ,52214, 52224, 52234, 52235, 52240. Is 52204 just a cysto w/ bx and no fulguration? or is fulguration included? Is 52214 soley a cysto with fulguration of trigone, bladder neck, prostatic fossa, urethra or periurethral glands or can this include a biopsy if it is needed for these specific areas? Is 52224 a cysto with either fulguration or resection of a tumor but not both with or without a biopsy? Also why is the term treatment used here instead of resection like the small medium and large tumor codes? Do 52234, 52235, and 52240 include biopsys if performed? I hope these questions make sense, our office does a lot of these procedures and the wording used is always different it makes it very difficult to code

 

[liqgold2@aol.com]

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. These codes include biopsy and take in all endoscopic modalities "treatment, fulguration, and resection" together or individually. Bill only one time per treatment.