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

[sharmisthade]

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 to 8 mm. Pneumatic lithotripsy done.

Can I code 50590 and 52353 together for this encounter? Please suggest.

 

[sls314]

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 to 8 mm. Pneumatic lithotripsy done.

Can I code 50590 and 52353 together for this encounter? Please suggest.

There is a CCI edit for those codes together stating that they are mutually exclusive procedures.

A modifier is allowed to override the relationship if the procedures were on separate structures. Otherwise, if they were on the same site, you should only bill the 50590.