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Is this Biopsy Mistake Costing Your Urology Practice $400 Per Claim?

Posted on 24. Feb, 2009 by in Hot Coding Topics

Tip: Look beyond the term ‘fulguration’ when you choose your codes.

If you slap 52204 on every cystoscopic bladder biopsy with fulguration that your urologist performs, you could be missing out on almost $400 per procedure. The clues to which bladder biopsy code you should be using lie within your urologist’s documentation.

Just Posted: Our Urology Coding Conference Agenda … with Dr. Michael Ferragamo, Maggie Mac, Leesa Isreal, Sharlene Scott & more.

Myth: Code 52204 (Cystourethroscopy, with biopsy[s]) is the only code you can use to report a cystoscopic bladder biopsy and fulguration.

Fact: Which bladder biopsy code you report depends on the reason for the fulguration and the information your urologist provides in his operative report. You will then choose from the following bladder biopsy codes:

• 52204 — Cystourethroscopy, with biopsy(s)

• 52224 — Cystourethroscopy, with fulguration (including...

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