trinalankford
Guru
...A 20-French cystoscope was passed under direct vision. Bladder was inspected with 30- and 70-degree lenses. No tumors or stones noted. Ureteral orifices were unremarkable. Clear efflux noted. An 8-French cone tip was used to do left retrograde ureterogram which demonstrated the UVJ stone. A 0.035 guidewire was passed up the left ureter under fluoroscopy past the stone. Over that was passed a 7-French rigid ureteroscope. I was able to negotiate the ureter without having to dilate and did get to the stone in question. It looked like it would fit through the ureter intact, now that the ureteroscope had passed. It was engaged with a 3-wire stone basket and brought out intact. Cystoscope was passed again. A 0.035 guidewire was passed and over that was passed a 5-French, 26-cm double pigtail stent...
I'm thinking 52352 only?
I'm thinking 52352 only?
.... Thank you for the subject on this and the confirmation to what I thought I already knew but wanted to reaffirm due to it has been a while and this is an ever-changing industry on rules Modifiers and coding guidelines... (I would also apply a laterality modifier to both codes 52352 as well as 52332 listing the 51 mod first on 52332 then the LT or RT. .... A Laterality modifier would not apply for the74420 retrograde pyelogram, the only mod needed on that would be a 26