- 1 What is procedure code 52356?
- 2 What is procedure code 52332?
- 3 Can CPT 52351 and 52332 be billed together?
- 4 Can 52352 and 52353 be billed together?
- 5 Can CPT 52356 be billed bilaterally?
- 6 What is the difference between cystoscopy and ureteroscopy?
- 7 Can CPT code 52332 and 52005 be billed together?
- 8 What does CPT code 52000 mean?
- 9 Can CPT codes 52356 and 52005 be billed together?
- 10 What is a 51 modifier?
- 11 Does CPT code 52332 need a modifier?
- 12 Does CPT code 50590 need a modifier?
- 13 How long is a ureteroscopy procedure?
- 14 What is the CPT code for kidney stone?
- 15 Does 52310 need a modifier?
What is procedure code 52356?
Code 52356 (cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent [eg, Gibbons or double-J type]) includes the performance of lithotripsy and the insertion of the indwelling stent on the same side.
What is procedure code 52332?
Cystourethroscopy with Insertion of Indwelling Ureteral Stent ( CPT Code 52332 ): Documenting Urinalysis to Support Medical Necessity.
Can CPT 52351 and 52332 be billed together?
Insertion of an indwelling stent ( 52332 ) should always be charged in addition to a ureteroscopy ( 52351 -52354) by adding the 59 modifier.
Can 52352 and 52353 be billed together?
Our office follows AUA coding guidelines. Per their recommendation, you can bill a 52353 and a 52352 on the same side, if done in separate structures to separate stones.
Can CPT 52356 be billed bilaterally?
For example, if a patient is found on imaging to have a stone in both the left and right ureter, a CPT 52356 – Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent may be performed and reimbursed when being performed bilaterally.
What is the difference between cystoscopy and ureteroscopy?
Points to Remember. Cystoscopy and ureteroscopy are procedures used to view the inside of the bladder, urethra, and possibly the ureters. A cystoscope is an instrument used to examine the urethra and bladder. A ureteroscope is an instrument used to examine the ureters.
Can CPT code 52332 and 52005 be billed together?
52332 includes 52005. Can be unbundled for example if done on different sides.
What does CPT code 52000 mean?
CPT ® 52000 in section: Endoscopy-Cystoscopy, Urethroscopy, Cystourethroscopy Procedures on the Bladder.
Can CPT codes 52356 and 52005 be billed together?
Note: CPT ® Code 52005 should be billed based upon the procedure performed and documentation of the procedure, but should not be billed if included into other procedures. Do not report CPT ® code 52005 during diagnostic or therapeutic cystourethroscopy with ureteroscopy and/or pyeloscopy as it is included in CPT ® codes
What is a 51 modifier?
Modifier 51 is defined as multiple surgeries/procedures. Multiple surgeries performed on the same day, during the same surgical session. Diagnostic Imaging Services subject to the Multiple Procedure Payment Reduction that are provided on the same day, during the same session by the same provider.
Does CPT code 52332 need a modifier?
It is appropriate to bill the CPT ® code 52332 with modifier -50 Bilateral Procedure, to indicate the procedure was done bilaterally.
Does CPT code 50590 need a modifier?
Medi-Cal covers Extracorporeal Shock Wave Lithotripsy (ESWL) for treating calculi in the renal calyces, the renal pelvis and in the proximal third of the ureter. Providers must bill ESWL using CPT ® procedure code 50590 with the appropriate modifier.
How long is a ureteroscopy procedure?
Ureteroscopy is typically performed under general anesthesia, and the procedure usually lasts from one to three hours. If the stone is small, it may be snared with a basket device and removed whole from the ureter.
What is the CPT code for kidney stone?
Stone in kidney. Unspecified site of urinary system — 592.9. Kidney stones vary in size from a staghorn calculus that may fill the entire renal pelvis and calices to microscopic crystalline foci. Some kidney stones may be asymptomatic.
Does 52310 need a modifier?
If appropriate, insert a urinary catheter for postoperative drainage.” Due to this wording, CPT code 52310 would be billed once even for bilateral ureteral stent removal, and no modifier should be used in an attempt to bypass the edit.