CPT Code Lookup Tool
Use this free CPT Lookup Tool to search for Current Procedural Terminology (CPT) codes, descriptions, and related details — designed to help streamline and simplify your medical billing process.
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Office or other outpatient visit
Evaluation and management of an established patient...
Information
This code is for use in medical billing and coding.
Information
This code is part of the section of CPT codes.
Office or other outpatient visit for the evaluation and management...
Note
This description reflects the 2021 E/M coding guidelines.
Information
codes are used to report evaluation and management services provided in various settings.
Information
RVUs are used to determine the fee for a service under the Medicare Physician Fee Schedule.
Information
This code is commonly used by primary care providers, but may be used by any specialty providing office visits.
Significant, separately identifiable E/M service
Information
Modifiers provide additional information about the service provided.
Detail About CPT 52204
Related Codes Table
| Code | Description |
|---|---|
| 52200 | Cystourethroscopy |
| 52250 | Cystourethroscopy with fulguration (including cryosurgery or laser surgery) |
| 52310 | Cystourethroscopy with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) |
| 52332 | Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) |
| 52351 | Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; residual or regrowth of obstructive periurethral prostatic tissue including verumontanum |
Commonly Billed With
CPT 52204 is commonly billed with codes such as 52000 (Cystoscopy), 52234 (Cystourethroscopy with ureteroscopy and/or pyeloscopy), and 88305 (Level IV - Surgical pathology, gross and microscopic examination).
Clinical Scenarios
Scenario 1: Biopsy of Bladder Lesion
In this scenario, CPT 52204 would be used to perform a cystourethroscopy to visualize the bladder lesion and obtain a biopsy for pathological examination.
Scenario 2: Evaluation of Hematuria
If a patient presents with hematuria, CPT 52204 may be performed to investigate the cause by examining the bladder and urethra.
Scenario 3: Monitoring Post-Treatment Progress
After a previous treatment for bladder cancer, CPT 52204 can be used to monitor the patient's progress and check for any recurrence of tumors.
FAQ Section
Q: Is anesthesia included in CPT 52204?
Anesthesia is not included in CPT code 52204. It should be reported separately.
Q: Can multiple biopsies be performed during the same procedure?
Yes, multiple biopsies can be performed during a cystourethroscopy procedure using CPT code 52204.
Q: What modifiers are commonly used with CPT 52204?
Modifiers such as -59 (Distinct Procedural Service) may be used to indicate that separate procedures were performed during the same encounter.
Q: Is there a specific diagnosis code required for billing CPT 52204?
No, there isn't a specific diagnosis code required for billing CPT code 52204. The diagnosis should support the medical necessity of the procedure.
h4>Q: Are there any age restrictions for performing CPT 52204?>
CPT code 52204 does not have specific age restrictions. It can be performed on patients of all ages based on medical necessity.
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