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52214 CPT code

CPT® Code 52214 - Urethra and Bladder Transurethral

  1. ology (CPT ®) code 52214 as maintained by American Medical Association, is a medical procedural code under the range - Urethra and Bladder Transurethral Surgical Procedures. Subscribe to Codify and get the code details in a flash. Request a Demo 14 Day Free Trial Buy No
  2. The CPT Code 52214 is the code used for Surgery / urinary system. The general guidance for this code is that it is used for destruction of tissue in the bladder, bladder canal (urethra) or surrounding glands using an endoscope
  3. CPT says 52214 includes fulguration of trigone, bladder neck, etc., etc. CPT Assist Aug 2009 does not clarify if this is to include biopsy. Question: If office procedure note states that the bladder neck was fulgurated and the floor of the bladder was biopsied would you code 52214 and 52204
  4. CPT ® Code Set. 52214 - CPT® Code in category: Urethra and Bladder Transurethral Surgical Procedures. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following.

CPT Code: 52214 - Destruction of tissue in the bladder

  1. The bladder neck reconstruction is included in CPT code 55866 and should not be billed. I was under the impression that CPT code 52214 was cystoscopy with fulguration ONLY no biopsy taken? I am not reading an excision &/or biopsy is included? 52214 includes endoscopic fulguration as well as excision of the urteral orifice and bladder cuff
  2. These procedures include CPT codes 52000, 52204, 52214 and 52224. CPT codes 52234, 52235 and 52240 are generally not performed in the office setting. Please consult with your local MAC for specific coverage, coding and payment policies applicable to billing for Blue Light Cystoscopy procedures performed in the physician office setting
  3. 2015 Coding & Payment Quick Reference Physician Relative Value Units (RVUs) CPT® Code1 Code Description 52204 Cystourethroscopy, with biopsy(s) 52214 Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral gland
  4. CPT® Code Code Description 52204 Cystourethroscopy, with biopsy(s) 52214 Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands 5222
  5. CPT® Code1 2 Physician Payment , 3 Separate procedure 52000 $170.28 52214 . $688.31 : With fulguration (including cryosurgery or laser surgery) of MINOR (less than 0.5 cm) lesion(s) with or without biopsy 52224 $718.9

52204, 52214 Cystourethroscopy Medical Billing and

Don't forget: Use 52214 (Cystourethroscopy, with fulguration [including cryosurgery or laser surgery] of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands) for fulguration of a bleeding vessel (s) such as in a case of radiation cystitis (no biopsy) or the treatment/fulguration of a Hunner's ulce Can you help me with the CPT codes we should be capturing from hospitals? Currently, we have 52214, 52356, 52332, and 52353. The holmium is a very versatile laser used to do many procedures in urology, including but not limited to ablation of superficial transitional cell carcinoma, prostate resection, and lithotripsy of urinary calculi 2010 CPT® Coding Professional Edition, AMA Laser Vaporization (52648) of the Prostate Gland - 52214 cystoscopic fulguration or excision, or - 52234 TUR resection of ureteral orifice . 2/23/12 26 Total Nephroureterectomy 50548 laparoscopic nephrectomy and total ureterectom 52214. Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands. 52224. Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion (s) with or without biopsy

• No specific code to report a laparoscopic radical cystectomy. • Guidance was given to use CPT code 51999 Unlisted laparoscopy procedure, bladder. • The AUA CRC reviewed the current CPT code(s) available for cystectomy (CPT 51550-51596) and determined that these codes are not approach dependent. There are no current vignettes o Currently, we have 52214, 52356, 52332, and 52353. The holmium is a very versatile laser used to do many procedures in urology, including but not limited to ablation of superficial transitional cell carcinoma, prostate resection, and lithotripsy of urinary calculi UROLOGY PROCEDURE BUNDLES / CPT LEVEL I - CORE PRIVILEGES CPT EVALUATION & CLINICAL CARE Admit, consult, H&P, orders Fluoroscopy Circumcision 54161 Cystoscopy 52000 Transrectal Ultrasound w/out Prostate Biopsy 55700 Transrectal Ultrasound with Prostate Biopsy 5570

Would CPT 52214 be correct, or five to 601 dash 52. The resectoscope has me questioning my code Joyce says the scope was removed and a 26 French red resectoscope was inserted. Using the bipolar rollerball the entire prostate fascia was full grated be reported. The HCPCS/CPT code 37760 descriptor includes the service described by the descriptor of HCPCS/CPT code 15271. Thus, based upon the HCPCS/CPT code descriptors, HCPCS/CPT code 15271 is bundled into HCPCS/CPT code 37760. For example, the code descriptor for CPT code 33612 is Repair of double outle What CPT codes should be reported? • A. 52341 • B. 52341 and 52351-59 Considerations CPT coding instructions say not to use 52351 in addition to 52341 52351 is not an inherently a bilateral code CCI edit (facility and professional) indicates that 52351 is always part of 52341 Trigger of OCE 20-Line item rejectio (CPT Code: 52000, 52005, 52204, 52214, 52224, 52234, 52240, 52260, 52265, 52276, 52281, 52285, 52310, 52315, 52320, 52332) All Indications [*One has to be present] *Hematuria [One has to be present] Gross hematuria [All have to be present] Blood by urine dipstick Urine culture negativ

CPT code 52287 - Cystourethroscopy, with injection(s) for chemodenervation of the bladder 2018 Non-Facility (Office), Medicare Nat'l Average . 2018 Facility (Hospital / surgi- center, etc.) Medicare Nat'l Average ; Work RVU: 3.20 . 3.20 : Total RVU . 8.97 : 4.90 . 1100 Wayne Ave, Suite 82 Access restricted. Please log in.log in The code pair combination of HCPCS Level II code C9738 with CPT code 52204, 52214, or 52224 will qualify for a complexity adjusted payment from APC 5373 to APC 5374. The combination of procedures described by new HCPCS Level II code C9738 and cystoscopy procedures assigned to APC 5374 and APC 5375 does not qualify for a complexity adjustment Code: Global Period: 0163T 000 0164T 000 0165T 000 0234T 000 0235T 000 0236T 000 0237T 000 0238T 000 0249T 000 0253T 000 0254T 000 0255T 000 0266T 000 0267T 000 0268T 000 52214 000 52224 000 52234 000 52235 000 52240 000 52250 000 52260 000 52265 000 52270 000 52275 000 52276 000 52277 000 52281 000 52282 000 52283 000 52285 000 5228 Nuclear Cystogram. 78700 through 78740, this code range covers a several methods for obtaining diagnostic information about the kidneys and collecting system. Definitions of these CPT codes are quite simple. A nuclear medicine study is used to measure urinary bladder residual and this process is coded with 78730

service. The combination of a vaginal hysterectomy (CPT code 58260) with an AP repair (CPT code 57260) and a pubovaginal sling (CPT code 57288) is a common example. A billing person would add a -51 modifier to the latter two codes in order to be reimbursed for all three procedures French hematuria catheter was then placed for continuous irrigation and there was a light pink result. The patient did well throughout the procedure. What CPT® code is reported for this service? Selected Answer: d. 52214 Correct Answer: b. 52001 Response Feedback: Rationale: Code 52001 describes a cystourethroscopy with irrigation and evacuation of multiple obstructing clots procedures (CPT codes 52000, 52204, 52214, 52224, 52234, 52235, and 52240). We further encourage CMS to improve access to Blue Light Cystoscopy with Cysview® in the ASC setting, particularly given that the procedure is now FDA approved for administration with a flexible scope for surveillance cystoscopy of Non Muscle Invasive Bladder Cancer

CPT® Code 52214 in section: Urethra and Bladder

This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60654 The latest ones are on Jul 15, 2021. 10 new 52214 Cpt Code results have been found in the last 90 days, which means that every 9, a new 52214 Cpt Code result is figured out. As Couponxoo's tracking, online shoppers can recently get a save of 46% on average by using our coupons for shopping at 52214 Cpt Code

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Code: 52214 . Add to CodeList; Copy Code to Clipboard; Copy Code and Description to Clipboard; To see the code description, try or buy SpeedECoder! CPT Guidelines - Code. To see American Medical Association copyrighted content, try or buy SpeedECoder! Related LCDs: Palmetto GBA (11502 - MAC - Part B For facility reporting, what is the correct CPT code for a partial (rather than complete) transurethral resection of the prostate? Is it appropriate to assign CPT code 52214, Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands, for partial. (CPT code 52204) Medicare will provide increased payment to the HOPD when Blue Light Cystoscopy is performed. To facilitate this payment, CMS created a new add-on code [HCPCS code C9738 (Adjunctive Relevant Procedure Code 52000 52234 52204 52235 52214 52240 52224. PLEASE PRINT OR TYPE APPROVED OMB-0938-1197 FORM 1500 (02-12) JOHN DOE 01. Codes 52214, 52400 and 52005 describe various procedures that were not performed. Question 19 0 out of 4 points The patient presents to the office for cystometrogram (CMG). Complex CMG with voiding pressure studies is done

CPT/HCPCS ACTION A4644 Procedure Status = E A4645 Procedure Status = E A4646 Procedure Status = E A9525 Procedure Status = I G0268 TOS Indicator = 2 This change is effective January 1, 2003. 0037T Bilateral Surgery Indicator = 1 Effective for services performed on or after January 1, 2003. 47133 Procedure Status = CPT codes will be performed in an outpatient hospital setting. This change will take effect on or after Dec. 1, 2019, for California, Connecticut, New Jersey and New York, on or after Jan. 1, 2020 for Colorado, Maryland and Rhode Island Coronary artery bypass, using venous graft(s) and arterial graft(s); three venous grafts (list separately in addition to code for arterial graft). 33521: Cardiovascular: Coronary artery bypass, using venous graft(s) and arterial graft(s); four venous grafts (list separately in addition to code for arterial graft). 33522: Cardiovascula CPT® Code Code Description Ureteroscopic Stone Management and Stent Insertion 52332 Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) 52214 Cystourethroscopy, with fulguration $674 $183 18.77 5.11 52224 Cystourethroscopy, with fulguration or treatment of minor (<0.5 cm) lesion(s) $706 $212 19.66 5.9

We use CPT codes 99214, 62369, and J0475 (on the same claim) for patients we see with Intrathecal Baclofen Pumps in office. Until recently, these 3 lines paid with simply MOD 25 on 99214. Wondering if we are to use MOD 59 or one of the XE, XP, XS, XU for 62369 (Electronic Analysis & Refill of Baclofen Pump by Nurse) The CPT® codes, along with ICD-9-CM or ICD-10-CM diagnostic codes, give a full picture of the patient visit. The ICD codes describe patient complaints and the CPT® codes report services provided. Medical billers use CPT® coding manuals as a guide for proper coding of each patient's visit 2) Don't report CPT codes 11055-11057 for removal of hyperkeratotic skin adjacent to nails needing debridement. ----- Example: Column 1 Code/Column 2 Code 11719/11720 >CPT Code 11719 - Trimming of nondystrophic nails, any numbe

PPT - 2009 CPT & HCPCS Level II Updates & Billing Impacts

The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed. Please note this document has been updated with National Medicare changes effective 7/1/201 Botox injection site, 52214. SOCIETY OF URODYNAMICS, FEMALE PELVIC MEDICINE AND UROGENITAL RECONSTRUCTION DECEMBER 2013 PAGE 2 The CPT code for the injection of Botox, 52287, has a work relative value, RVU, of 3.20 and total RVUs of 9.16 in the office and 4.90 in hospital or ASC. The unadjusted 2013 Medicare fees fo What CPT® code(s) is/are reported for this service? D. 52648, 52224-59 Rationale: Laser vaporization is coded using CPT® 52648. In the CPT® Index look for Prostate/Vaporization/Laser directing you to 52648. A biopsy is usually not reported at the same time of the laser procedure. Codes 52214, 52400 and 52005 describe various procedures. The correct code for the lesion biopsy with hemostasis is 52204, not to be confused with 52224 for biopsy with the treatment of a lesion. 12. Retrograde pyelograms. When a cystoscopy with a retrograde pyelogram is performed, use the CPT code 52005. This code is considered to be a unilateral code in the CPT book When Cysview is reported in combination with HCPCS codes 52204, 52214 and 52224, these services will result in a payment reassignment from proposed APC 5373 with a payment rate of $1695.57 to APC 5374 at $2696.58 for CY 2018. Transurethral Waterjet Ablation of the Prostat

Urinary and Male Genital Systems (Codes 50010 - 55899) A. Cystourethroscopy With Ureteral Catheterization (Code 52005) Code 52005 has a zero in the bilateral field (payment adjustment for bilateral procedure does not apply) because the basic procedure is an examination of the bladder and urethra (cystourethroscopy), which are not paire CPT codes are used to report these services to public and private insurers on medical claims. The mission of the CRC serves as urology's representative in the area of coding, terminology development and reimbursement. They also seek new and updated codes to ensure accurate identification of urologic diseases and procedures Vol. 18 •Issue 13 • Page 8Coding Benign Prostatic Hyperplasia Prepared by Ingenix Staff To alleviate coding confusion, a combination code was created. Enlargement of the prostate gland, also known as benign prostatic hyperplasia or hypertrophy (BPH), is a simple and unfortunate consequence of aging. BPH affects most men over the age of 60, and [

What is the procedure code for cystoscopy

Urology 1. Nice work! You just studied 7 terms! Now up your study game with Learn mode. Operative Report PREOPERATIVE DIAGNOSIS: Urethral caruncle. POSTOPERATIVE DIAGNOSIS: Urethral caruncle. PROCEDURE: Cystoscopy and excision of urethral caruncle. ANESTHESIA: General. PREOPERATIVE INDICATIONS: This 58-year-old patient presented to her family. As such, correct coding would indicate that the service should be reported to non-Medicare payers following CPT correct coding directives as: 52356-RT. 52353-59. 52353-59-76 (the -76 modifier alerts the payers that this is not a duplicate charge and may not be required by all payers) 52332-LT. Next: Coding for post-TURBT mitomycin. Do not report CPT code 52000 along with CPT code 52005 because CPT code 52005 include CPT code 52000. If the physician performs a retrograde pyelogram in the hospital with only a radiology technician to operate the equipment, bill CPT code 52005 and CPT codes 74420-26. Appending of modifier 26 (the professional component) indicates that the.

What to include in list of holmium laser code

CPT Codes and Fees, Effective January 1, 2015: Surgery, Part 1 (10000-29999) Surgery, Part 2 (30000-49999) Surgery, Part 3 (50000-69999) Assistant Surgery Guide: Radiology: Pathology and Laboratory: Evaluation & Management, Medicine, Physical Therapy: Commission Assigned Codes: N.C. Industrial Commission Assigned Codes CPT/HCPC Code Modifier Medicare Location Global Surgery Indicator Multiple Surgery Indicator Prevailing Charge Amount Fee Schedule Amount Site of Service Amount 52204 1 0 3 X 563.47 X 52214 3 0 3 X 625.59 X 52214 4 0 3 X 679.36 X 52214 2 0 3 X 690.12 X 52214 1 0 3 X 697.86 X 52224 3 0 3 X 592.76 X 52224 4 0 3 X 632.59 X 52224 1 0 3 X 678.15

Policy Appendix: Applicable Code List Global Days Assignment List . This list of codes applies to the Reimbursement Policy titled Global Days. Effective Date: July 12, 2021 . Applicable Codes . The following list(s) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all inclusive All CPT Procedure Codes in Numerical Order Current Codes: Code Description CPT 15820 Blepharoplasty, lower eyelid CPT 15821 Blepharoplasty, lower eyelid; with extensive herniated fat pad CPT 52214 Cystourethroscopy, with fulguration (including cryosurgery or laser surgery Basic Current Procedural Terminology and HCPCS Coding . 2013 Edition . Instructor's Manual CPT code 95922 requires both a passive title and a Valsalva maneuver be performed. If only one or the other is performed, then modifier '52' Reduced services, should be appended to the code. Code 52214 is in the urethra and bladder section. By Policy and Advocacy Brief posted 12-18-2018 13:06. Current Procedural Terminology (CPT ®) has been revised to standardize coding placement under more appropriate headings in an effort to better categorize CPT ® procedures. New, revised or deleted CPT ® codes are listed below. Code revisions are noted in green and new codes/additions are. CPT is a list of descriptive terms and identifying numeric codes for medical services and procedures that are provided by physicians and health care professionals. American Medical Association, Intellectual.PropertyServices@ama-assn.org. CPT can no longer be served by BioPortal due to licensing constraints

CG-SURG-51 Outpatient Cystourethroscop

The column 1 codes with this code are 52007-52010, 52214-52234. CodingToday: CPT 5228 . No additional documentation is required to be submitted with the claim -Current Procedural Terminology (CPT) coding = service(s) performed for the patient -International Classification of Diseases (ICD) coding = signs, symptoms & diagnosis that represent. Household received Food Stamps/SNAP in the past 12 months: 92 Household did not receive Food Stamps/SNAP in the past 12 months: 1,284 Women who had a birth in the past 12 months: 26 (17 now married, 8 unmarried) Women who did not have a birth in the past 12 months: 645 (288 now married, 357. For a list of common questions, visit the Online Coding FAQs page. If you have any questions regarding your One Healthcare ID account, please contact One Healthcare ID at 1-855-819-5909 or visit One Healthcare ID FAQs For a list of common questions, visit the Online Coding FAQs page. If you have any questions regarding the creation of your One Healthcare ID account, please contact One Healthcare ID at 1-855-819-5909 or visit One Healthcare ID FAQs (10) Digestive System: Intestines (Except Rectum) (CPT Code 44705 and HCPCS Code G0455) (11) Digestive System: Biliary Tract (CPT Codes 47600 and 47605) (12) Urinary System: Bladder (CPT Codes 52214, 52224, and 52287) (13) Transurethral Destruction of Prostate Tissue (CPT Code 2019 SELF-PAY PACKAGE PRICING Wooster OB/GYN Drs. 5

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Federal Register :: Medicare Program; CY 2021 Payment · (18) Computer-Aided Mapping of Cervix Uteri (CPT Code 57XX0) (19) Colpopexy (CPT Codes 57282 and 57283) (20) Laparoscopic Colpopexy (CPT Code 57425) (21) Intravitreal Injection (CPT Code 67028) (22) Dilation of Eustachian Tube (CPT Codes 697XX and 697X1) (23) X-Ray of Eye (CPT Code 70030) (24) CT Head-Brain (CPT Codes 70450, 70460, and. CPT codes for crises allow behavioral May 18, 2020 뜀 Examples of CPT글 Code Updates. The list of CPT글 code set continues to evolve as new services arise. The following is a sample of some of the new codes. Blue Light Cystoscopy codes: 52204, 52214 and 52224; Biofeedback codes: 90912 and 90913; Psychotherapy codes: 97129 an For your convenience, below is a crosswalk that provides the deleted code and the corresponding new CPT/HCPCS code(s). Providers are reminded that deleted codes are no longer valid effective for dates of service on or after January 1, 2010. 52214 52606 90968 90919 or 90923 52601 52612 or 52614 90969 90920 or 90924 52630 52620 90970 90921 or.

What to include in list of holmium laser codes - Knowledge

Procedure Code Service Type 19182 Mastectomy-subcutaneous 20680 Removal of wire/pin/screws.deep 30520 Septoplasty or submucous resection c/s cartilage contouring or replacement 42820 T&A under age 12 42821 T&A over age 12 42826 Tonsillectomy over age 12 42830 Adenoidectomy under age 12 43235 EGD with/without brushing These procedures include CPT codes 52000, 52204, 52214 and 52224. CPT codes 52234, 52235 and 52240 are generally not performed in the office setting. Please consult with your local MAC for specific coverage, coding and payment policies applicable to billing for Blue Light Cystoscopy procedures performed in the physician office setting A: Assign. All coding and reimbursement is subject to all terms of the Provider Service Agreement and subject to changes, updates, or other requirements of coding rules and guidelines. All codes are subject to federal HIPAA rules, and in the case of medical code sets (HCPCS, CPT, ICD), only codes valid for the date of service may be submitted or accepted N40 is not a billable ICD-10-CM diagnosis code and cannot be used to indicate a medical diagnosis as there are 4 codes below N40 that describe this diagnosis in greater detail. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes

Prostiva® RF Therapy. Prostiva® RF Therapy is a safe, effective, non-surgical in-office therapy which provides long-term relief from BPH symptoms and urinary obstruction without the side effects and high cost of chronic BPH medication or the risks and high costs associated with invasive surgery. This treatment option delivers precisely targeted low-level radio frequency (RF) energy that. If the ACS designates a code as an always, the Health Plan assigns an always designation to the procedure code, and Assistant Surgeon services will be eligible for reimbursement when reported with that procedure.** **Exception: The Health Plan considers CPT codes 59510, 59515, 59618, and 59622 a

Urology Procedure Bundles / Cp

Cystourethroscopy, deleted 52335 from the family codes. 2.3: 11/12/2008: Section II. Endoscopy Families, first sentence, corrected the year of the CPT book that was used to update codes in April 28, 2008, by changing CPT 2006 codes to CPT 2007 codes. 2.4: 06/29/2015: Updated eligible charge amounts and removed the following chart from. 3.16: 08/202019: Removed CPT code 25500. 3.17: 09/12/2019: Removed CPT codes 24560, 24650, 6440

UCR 019: FAQs - Can CPT code 50386 be done in the office

Endoscopy Group: Endoscopy Group Procedure Codes: Base Code: Shoulder Arthioscopy/Surgery: 29806 29807 29819 29820 29821 29822 29823 29824 29825 29826 29827 2982 list of cpt codes 2020. Home; list of cpt codes 2020; No Comments January 20, 202

CodingToday: CPT 5221

The matrix cal- 52214, 52356, 52332, and 52353. culator will explain to you exactly which codes can and cannot be billed. However, A The holmium is a very versatile laser it does not sound like you should add code used to do many procedures in urology, 52332 to your study. including but not limited to ablation of Urologist Ray Painter, MD, is.

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Claims to be Adjusted to Correct Certain Code Allowances Beginning on or around February 22, 2019, Horizon BCBSNJ will begin to adjust certain claims finalized between October 22, 2018 and November 12, 2018 to include the appropriate Northern NJ geographic region factor as part of the criteria for determining th (12) Urinary System: Bladder (CPT Codes 52214, 52224, and 52287) (13) Transurethral Destruction of Prostate Tissue (CPT Code 53850) (14) Nervous System: Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System (CPT Code 64615 The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. The 2021 ICD-10-PCS is the latest code set revision and is valid for discharges occurring from October 1st, 2020 through September 30, 2021. ICD-10-PCS codes have a structure of seven alphanumeric characters and contains no decimals CPT code for the service performed. 1 Blue light cystoscopy with Cysview may be covered by private payers and Medicaid programs when medically necessary. Coverage 52214 Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, APC 5373 $792.79 - AS Patients undergoing bladder cancer procedures with CPT codes of 52224 (TURBT < 0.5 cm) and 52214 (cystoscopy with fulguration) were excluded from the study. The NSQIP includes information on medical comorbidities, including any history of diabetes, hypertension, pulmonary comorbidities, cardiac comorbidities, and American Society of.