AMA CPT® Assistant - 2003 Issue 9 (September)

Surgery/Urinary (September 2003)

September 2003 page 16-end Coding Consultation:Questions and Answers Surgery/Urinary System, 52204, 22 (Q&A) Question If multiple biopsies are performed in different areas of the bladder, is 52204 coded multiple times or is it coded once regardless of the number of biopsies performed? AMA Comment Code 52204, Cystourethroscopy, with biopsy, should be reported only one time for the procedure, regardless of the number of biopsies performed. If many biopsies are performed, the physician may append modifier '22,' Unusual procedural service, to the procedure code to indicate that significantly greater time and effort were required to perform the procedure...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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