CPT Knowledgebase - Jan 7, 2008

Should a 0.2-cm tumor resection of the bladder performed through cystoscopy be reported with code 52224, Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy, or 52234, Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)? Should the resection of a 1.0-cm lesion be reported with code 52224 or 52234? Please explain the difference between lesion and tumor with respect to these codes.

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