Wiki Billing for double J stents for both sides?

[kathy a]

I had a patient who had cysto with lithotripsy done on both the right and the left. He also had 2 double j indwelling stents placed. His insurance is denying this. I used :

# 52353-RT,22
# 52353-LT
# 52332-50
# 74480-26
dx- 592.1

Our physician had difficulty on the right, so I added a 22 modifier to this one. I know that # 52353 states ureteral catherization is included. Being these are indwelling stents can't I bill for these as these aren't temporary? Would I have to add a 59 modifier to these. Would the correct way to bill this be #52332-59-50? I would appreciate any help. Thanks

 

[nateich]

You coded and billed correctly. Those codes are not bundled; what was the reason for insurance denying 52332-50?

I would definitely appeal.

 

[kathy a]

They are not accepting the 50 modifier.

 

[seslinger]

I would bill the 52332 -RT, 52332 -LT some insur. co. dont want the -50 modifier. I usually have luck with the RT/LT.

Sheila

 

[sctaylor]

I also have to separate the codes out with Lt/Rt instead of 50