urology question

scgcpc2002

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I have an op report that I'm having problems with.....MD dictated dx as urethra stone, massive prostatic urethral stone...he did a cystoscopy and using a laser fragmented the stone.
My question is there isn't a specific cpt for this so would I be using the unlisted or 52218????
Thank you in advance
 

mbort

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how about 52353?

Here is a CPT assistant about it:

Question:Does code 52353 include laser lithotripsy of ureteral calculus with ureteroscopy and ureteral catheterization?

Answer:Yes. Code 52353, Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included), includes the fragmenting of the stone with a laser lithotripsy through the ureteroscopy as well as the ureteral catheterization, if performed. If a cystourethroscopy without ureteroscopy is performed with lithotripsy to fragment ureteral stones, then code 52325, Cystourethroscopy including ureteral catheterization; with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique), should be repo
 

scgcpc2002

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Yes I did. In reading the description of cpt 52318, in CDR for Procedures, it doesn't include the urethra, or am I reading too much into this???? And cpt 52315 is removing....the MD did use laser to fragment the stone.
 

Kelly_Mayumi

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By chance, did you decide what code to use? I have a similar procedure to yours and I'm making myself crazy to find an answer.
 

bethh05

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If you look up lithotripsy of urethra in the index of the CPT book it refers you to 52353.
 
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