Operative Note: Performed a cystoscopy with resection of a 4.0 cm bladder tumor. The procedure concluded with a steroid injection into the urethral stricture.
Identify the terms used to look up the code selection in the Alphabetic Index. Assign CPT codes to the case. If applicable, append CPT/HCPCS Level II modifiers.
Index:
Bladder, Endoscopy, Excision, Tumor (results in code 52235)
Cystourethroscopy, with Steroid Injection
Code(s)
52235 Cystourethroscopy with fulguration and/or resection of medium bladder tumor (2.0 to 5.0 cm)
52283-59 Cystourethroscopy with steroid injection into stricture
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