TnRushFan
Guru
Good morning folks...
My surgeon performed transurethral resection of 4cm bladder tumor - easy enough....52235
He then documented "with prostatic stromal invasion" and he "resected a separate portion of abnormal appearing prostatic tissue and sent this as a separate specimen"
Pathology results: prostate, transurethral resection - involved by high grade urothelial carcinoma.
My questions: should I code this as TURP with reduced modifier 525601-52 along with 52235? Or does the prostatic stroma bundle into the bladder tumor?
Do I code the invasion as prostate mets, prostate ca, or the bladder ca?
I was taught not to code prostate resection with bladder ca...but that just doesn't feel right in this case and would appreciate other opinions.
Thanks in advance.
My surgeon performed transurethral resection of 4cm bladder tumor - easy enough....52235
He then documented "with prostatic stromal invasion" and he "resected a separate portion of abnormal appearing prostatic tissue and sent this as a separate specimen"
Pathology results: prostate, transurethral resection - involved by high grade urothelial carcinoma.
My questions: should I code this as TURP with reduced modifier 525601-52 along with 52235? Or does the prostatic stroma bundle into the bladder tumor?
Do I code the invasion as prostate mets, prostate ca, or the bladder ca?
I was taught not to code prostate resection with bladder ca...but that just doesn't feel right in this case and would appreciate other opinions.
Thanks in advance.