CCS EXAM PREP 2017- DOMAIN 5- DATA
QUALITY & MANAGEMENT COMPLETE
QUESTIONS AND ACCURATE DETAILED
ANSWERS \LATESR VERSION
Code only the largest Cystourethroscopy with removal of two lesions of
tumor.. separate locations in the bladder, one is 1.5 cm
Per CPT Assistant- codes bladder tumor anterior wall and one is 0.75cm in the
52234-52240 should only lateral wall. What coding rule applies?
be reported once,
regardless of the number
of tumors removed. Only
one of the three codes
may be reported per
session. Select the code
based on the largest
tumor. Note that 52234 is
used when one or more of
the tumors is from 0.5 cm
to 2.0 cm. Code 52240 is
used when one or more of
the tumors are larger than
5.0 cm.
Prospective payment DRGs and APCs are similar in that they are both:
systems
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