Urology Coding Alert

Reader Question:

52330 vs. 52332 Depends on Manipulation

Published on Mon Sep 19, 2011

Question: Our doctor did a cystoscopy and had to manipulate the guidewire past a ureteral calculus. Should I code this as a stone manipulation or should I just code the stent insertion by itself?

Tennessee Subscriber

Answer: You should report just the stent insertion since your urologist was manipulating the guidewire past the stone and not actually trying to move the stone. Use 52332 (Cystourethroscopy, with insertion of indwelling ureteral stent [e.g., Gibbons or double-J type]) rather than 52330 (Cystourethroscopy [including ureteral catheterization]; with manipulation, without removal of ureteral calculus).

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