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Wiki multiple kidney stones in same site w/lithotripsy

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tdove

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Local Chapter Officer
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Yakima, WA
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I have heard that if you do lithotripsy on multiple stones you should bill more than one 52356 in same site for example 52356 then 52356-59 for each additional stone in site.

Has anyone heard this is correct and you can get paid for each additional stone?

Thanks
 
I just verified that only 1 unit is billable per DOS with Medicare. So unless a commercial carrier has a specific policy stating differently, I would only bill it one time.
 
multi stones

I have heard this as well. I was at the AUA coding conference last year and this came up. I was told that it is OK. I have been billing them if one is in the ureter and one in the kidney. So, 52356 w/ 592.1 and 52356-59 w/ 592.0.
I have only gotten one denial for a duplicate CPT, but I appealed with the op-note to show the different stones. I hope this helps!
 
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