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What is the CPT code for a TURBT?

FAQs william November 1, 2022

If you are reporting a transurethral resection of bladder tumor (TURBT), you should submit 52235 (cysttourethroscopy, with fulguration [including cryosurgery or laser surgery] and/or resection of; MEDIUM bladder tumors [ 2.0 to 5.0 cm]) as the primary procedure code.

What is transurethral resection of bladder Tumour?

T U R B T stands for transurethral resection of a bladder tumor. It’s an operation to remove early cancer in your bladder. Your kidneys produce urine, which travels through the ureters to the bladder, which stores urine until you need to empty it through your urethra.

What is procedure code 52234?

CPT® Code 52234 – Transurethral Surgical Procedures of the Urethra and Bladder – Codified by AAPC.

What is the CPT code for cystoscopy resection of bladder tumors?

CPT® 52235, Transurethral surgical procedures under the urethra and bladder. Current Procedural Terminology (CPT®) code 52235 as administered by the American Medical Association is a medical procedure code under the Division – Urethra and Bladder Transurethral Surgical Procedures.

What is the CPT code for TURP?

CPT code 52601 describes a TURP procedure for removing prostate tissue through a cystourethroscopic approach, typically for resection of prostate tissue in men with urinary tract obstruction at the level of the prostate (although it may be used for other reasons such as eg for a prostate abscess).

What is procedure code 52332?

CPT code 52332 (Cystourethroscopy, with Insert of Indwelling Ureteral Stent) (e.g. Gibbons or Double-J Type)) describes the insertion of a self-retaining indwelling stent during a cystourethroscopy with ureteroscopy and/or B. Pyeloscopy and shall not be reported to describe the insertion and removal of a temporary ureteral stent…

What is the ICD 10 code for bladder tumor?

C67. 9, Bladder malignancy, unspecified.

What is the CPT code 52224?

52224: Cystourethroscopy with fulguration (including cryosurgery or laser surgery) or treatment of SMALL (less than 0.5 cm) lesion(s) with or without biopsy.

What is a resection of the bladder called?

Transurethral resection of the bladder is a surgical procedure in which abnormal tissue (tumor) is removed from the bladder through the urethra. It is also known as transurethral resection of a bladder tumor, or TURBT. A tumor in the bladder can be benign (not cancer) or malignant (cancer).

What is the difference between cystoscopy and TURBT?

A cystoscopy is often used to determine the presence of bladder cancer. For cancer, a TURBT is done to remove the tumor and determine if it has spread to the muscle layer of the bladder wall.

How long does transurethral resection of bladder tumor take?

Most people with non-muscle-invasive bladder cancer have surgery called transurethral resection of the bladder tumor (TURBT). This is done under general anesthesia using a rigid cystoscope. A TURBT lasts 15-40 minutes and does not involve cuts on the outside of the body.

What is the difference between CPT 52204 and 52224?

For this example, you should report 52204, says Hollingshead. However, if your urologist documents having performed a cystoscopic bladder biopsy with fulguration to completely treat and eliminate a 0.3 cm lesion, you would report 52224.

What is procedure code 52214?

52214: Cystourethroscopy with fulguration (including cryosurgery or laser surgery) of the trigone, bladder neck, prostatic fossa, urethra, or periurethral glands.

What is the difference between 52214 and 52224?

52214 is the correct anatomical location (prostatic urethra) but indicates fulguration and not resection. 52224 gives the correct approach but according to the 2011 coding companion is for resection of a bladder lesion.

What is the CPT code 52287?

CPT® Code 52287 – Transurethral Surgical Procedures of the Urethra and Bladder – Codified by AAPC.

What is the CPT code 74420?

CPT® Code 74420 – Diagnostic radiology (diagnostic imaging) procedures of the urinary tract – Codified by AAPC.

Can CPT code 52235 and 51720 be billed together?

52335 and 51720 are bundled together. If the patient is moved to another room and 51720 is infused, it is appropriate to add -59.

What is the CPT code for TURP partial resection first stage?

Official Guidance: CPT® states: “For transurethral partial resection of stage one prostate use 52601. For partial resection of prostate stage two use 52601 with modifier 58.”< /p >

References:

  1. https://www.aapc.com/codes/coding-newsletters/my-urology-coding-alert/reader-question-list-52235-as-the-primary-surgical-code-for-turbt-156835-article
  2. https://www.findacode.com/cpt/52235-cpt-code.html
  3. https://www.cancerresearchuk.org/about-cancer/bladder-cancer/treatment/early/trans-urethral-removal-tumour
  4. https://www.aapc.com/codes/cpt-codes/52234
  5. https://www.aapc.com/codes/cpt-codes/52235
  6. https://community.auanet.org/blogs/policy-brief/2021/06/30/coding-for-52601-what-is-a-turp
  7. https://www.cms.gov/files/document/chapter7cptcodes50000-59999final11.pdf
  8. https://www.fortherecordmag.com/archives/101011p28.shtml
  9. https://community.auanet.org/blogs/policy-brief/2017/05/25/insurance-coverage-policy-updates
  10. https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ug6073
  11. https://patients.uroweb.org/treatments/turbt/
  12. https://www.cancercouncil.com.au/bladder-cancer/non-muscle-invasive-treatment/surgery/
  13. https://www.aapc.com/codes/coding-newsletters/my-urology-coding-alert/is-this-biopsy-mistake-costing-your-practice-hundreds-article
  14. https://www.urologytimes.com/view/what-include-list-holmium-laser-codes
  15. https://www.aapc.com/discuss/threads/52214-vs-52224.55581/
  16. https://www.aapc.com/codes/cpt-codes/52287
  17. https://www.aapc.com/codes/cpt-codes/74420
  18. https://www.aapc.com/discuss/threads/52235-with-51720-denials.42222/
  19. https://www.aapc.com/codes/coding-newsletters/my-urology-coding-alert/procedure-primer-tackle-turp-coding-with-3-expert-tips-147301-article

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