When the surgeons performs a cystourethroscopy with biopsy of a "suspicious area" (fistula in this case) not a definate tumor or lesion and also utilizes fulguration for cauterization would this be most appropriately coded as 52204?? Or if we queried the surgeon for the size of the area could we utilize the 52224 - 52240 range or are these codes specific to lesions? I have attached a portion of the operative report below.
I would appreciate any feedback
op note
Bladder was drained and refilled, and the biopsies were performed at the area of the fistula, three-quarters were obtained and then sent for permanent section. I used the rigid cold cup biopsy forceps. There was some bleeding for one of these, so that was cauterized with a Bugbee electrode.
I would appreciate any feedback
op note
Bladder was drained and refilled, and the biopsies were performed at the area of the fistula, three-quarters were obtained and then sent for permanent section. I used the rigid cold cup biopsy forceps. There was some bleeding for one of these, so that was cauterized with a Bugbee electrode.
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