Wiki CPT Code 50590 - ESWL of stone in kidney and ureter

1CodingTeam24

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Can you please help clarify a Facility billing question - we have a patient that had a CPT code - 50590 - ESWL?
According to the paperwork at the time of the treatment the doctor decided to shock each stone separately located on the same side, one located in the kidney and one located in the ureter, is this able to be coded possibly with a modifier to receive separate reimbursement for each treatment (one stone in Kidney and one stone in Ureter)? Does these stones being located in separate quadrants (upper and lower quadrant) change the way this can be coded?

Any help you can provide would be very helpful.
 
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