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Wiki New to Urology Billing

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Lisa Adams

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I have an OP Note with Cytoscopy, left retrograde, Left ureteroscopy, left Holmium laser ureteral lithotripsy and stent exchange. Can you please show me where to go with this.

I see that the Cytoscopy is 52000. And the lithotripsy is 52353.. I think I have the right one. But I am not finding anything on the other 2 procedures.

Help please :)
 
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The cystoureteroscopy is included in the lithotripsy (52353), the code for your stents would be (52332-59), and they can be billed bilaterally if both sides were done. Don't bill for the removal just the insertion. Code (51610-51) for the the contrast. The retrograde pyelogram (52005) will deny as inclusive if billed with the lithotrispy.

Hope this helps,

Tamra
 
52005 would be the contrast injection for the retrograde pyelogram and the radiological component of that service is 74420 (with a modifier depending on you situation). 52005 would bundle to 52332 and 52353. In Ohio 52332 does not bundle to 52353 so modifier -59 is not needed. New for 2014, these two procedures (laser lithotripsy with stent placement) will be inclusive in once new shiny CPT code.
 
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