Wiki dual stent insertion, same laterality

[Ckrogers]

I'm confused on how to code this procedure. Doctor did a Cystoscopy, retrograde pyelogram, ureteral stent exchange. That I understand, but..
" A new 4.8 French by 26 cm double-pigtail ureteral stent was placed into the left collecting system. Position of the stent was confirmed with fluoroscopy. Using the 6 French open-ended ureteral catheters the guidewire was passed back through the ureter and with some manipulation into the left renal pelvis. A second 4.8 French by 28 cm double-pigtail ureteral stent was then placed into the left collecting system. "
So he placed 2 stents. Would this be best represented with a 22 modifier? 52332-22-LT?

 

[daniel]

Doesn't happen often, but I'd apply two CPT 52332.
CPT 52332.LT + CPT 52332.76.LT + 74420.26, not to sure on the mod 76.

Applying modifier 22 is another option, but personally I'd code it twice.

 

[Ckrogers]

Doesn't happen often, but I'd apply two CPT 52332.
CPT 52332.LT + CPT 52332.76.LT + 74420.26, not to sure on the mod 76.

Applying modifier 22 is another option, but personally I'd code it twice.

Thank you Daniel; I will try that.

 

[toria11]

Thank you Daniel; I will try that.

Could you please update how this worked out? I believe in the past I used 22 in a situation like this but I'm curious if the 76 was a better option.

 

[Ckrogers]

Could you please update how this worked out? I believe in the past I used 22 in a situation like this but I'm curious if the 76 was a better option.

Insurance denied it with -76. We appealed with a correction to use -22, which was paid.

 

[toria11]

Insurance denied it with -76. We appealed with a correction to use -22, which was paid.

Thanks!!