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Old 09-08-2008, 09:05 AM
hencked hencked is offline
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Default Instillation of anticarcinogenic agent with cyto.

I have a urology case where a cyto with a resection of bladder tumor is done, CPT code 52234. On another area of the bladder he biopsies an unusual spot, code 52204 and then instills mitomycin, endoscopically, code 51720. The diagnosis is bladder cancer. CCI bundles 52204 and 51720 into 52234 with a 1. We are thinking we could bill 52005 with a 59 as it is a separate area of the bladder from the tumor resection and the path came back cystitis. But what if it would have came back as cancer also, then should be bill? Should we unbunble the 51720 or just not code?

Any guidance on this senario would be greatly appreciated. Thanks!

Deb H.

Last edited by hencked; 10-13-2008 at 11:05 AM. Reason: One wrong code listed in paragraph
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Old 09-09-2008, 11:21 AM
zaidaaquino zaidaaquino is offline
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Default

Please verify code 52005...the description does not include biopsies.

Zaida, CPC
Urology office
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Old 10-08-2010, 07:30 AM
AmyHyman AmyHyman is offline
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Default 51720 with 52234

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Originally Posted by hencked View Post
I have a urology case where a cyto with a resection of bladder tumor is done, CPT code 52234. On another area of the bladder he biopsies an unusual spot, code 52204 and then instills mitomycin, endoscopically, code 51720. The diagnosis is bladder cancer. CCI bundles 52204 and 51720 into 52234 with a 1. We are thinking we could bill 52005 with a 59 as it is a separate area of the bladder from the tumor resection and the path came back cystitis. But what if it would have came back as cancer also, then should be bill? Should we unbunble the 51720 or just not code?

Any guidance on this senario would be greatly appreciated. Thanks!

Deb H.
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