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Help with cpt

  1. #1
    Default Help with cpt
    Medical Coding Books
    Need help with CPT.

    The physician states this is a cystoscopy, TUR small bladder tumor 1.5-3 cm behind the left ureteral orifice. (Path report says findings consistent with chronic cystitis. No tumor identified)

    Cystoscopy revealed a tight urethral stenosis cystitis cystica throughout the surface of the bladder with a heavy area of erythema surrounding a whitish sessile plaque-like area behind the left ureteral orifice. Using the 26-French continuous flow resectoscope, this area was resected and the cautery was used to cauterize any bleeders. Specimens were sent to pathology. A 16-French Foley catheter was placed.

    Any help is appreciated.

  2. Default
    If this was the procedure note, I'd question the size of the tumor. But, I think it looks like 52234.

  3. Default
    Agree with 52234..

    Nalini CPC

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