CPT^® 50590, Under Lithotripsy and Ablation Procedures on the Kidney

The Current Procedural Terminology (CPT^®) code 50590 as maintained by American Medical Association, is a medical procedural code under the range - Lithotripsy and Ablation Procedures on the Kidney.

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Summary

Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.

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Forum

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CPT 50590 and 52353 can be billed together for the same site?

[QUOTE="sharmisthade, post: 515017, member: 202505"] Urologist performed ESWL for left side for the renal fragments. Left ureteroscopy was done. Fragments noted in left upper ureter -multiple fragmen... [ Read More ]

CPT 50590 and 52353 can be billed together for the same site?

Urologist performed ESWL for left side for the renal fragments. Left ureteroscopy was done. Fragments noted in left upper ureter -multiple fragments- at least 50 in number of sizes varying from 3 mm ... [ Read More ]

Lithotripsy - Revenue code and bill type

Hello, Can you please help me figure out if we are submitting the correct revenue code on our UB-04 claims for CPT code 50590 - Lithotripsy cases? We are currently using Revenue code 0790 with a bill... [ Read More ]

How would you this stone surgery for single stone that 50590 failed but 52356 worked with reference

Here is the operative report. I thought it should be coded CPT 52356 RT since ESWL CPT 50590 failed to break the stone. The physician thinks it should be coded 50590 RT and 52332 RT. Any reference wou... [ Read More ]

VA CCN Optum

I need some guidance on billing Facility Charges & Professional charges. Issues: We are not being paid the Facility Rate correctly, claim disputes and review are fruitless Anyone else have experienc... [ Read More ]

Modifiers on an ESWL and Ureteroscope/Laser in same op session

If your clinical scenario represents a renal stone and a ureteral stone on the same side, I would suggest the following coding: 50590 for the renal stone, diagnosis N20.0, and 52356 XS... [ Read More ]

Modifiers on an ESWL and Ureteroscope/Laser in same op session

Hi All - I have an ongoing debate with a colleague regarding how to bill stone procedures. When they do a combination therapy in the same op session, I bill it as 50590-, 52356-59(XU same stone/XS s... [ Read More ]

Stent Removal

[QUOTE="KaylaRieken, post: 487980, member: 255474"] Yes 50590 and the cysto stent placement 52332. [/QUOTE] Since the stent placement 52332 has no global period, the removal of the stent would be outs... [ Read More ]

Stent Removal

Yes 50590 and the cysto stent placement 52332.... [ Read More ]

Stent Removal

An ESWL procedure does not access the ureter for stent placement. Are they performing a cystoscopy in the same session as the ESWL to put in a stent? I've never seen this done. Or when you say ESWL... [ Read More ]

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