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urology question

  1. #1
    Default urology question
    Medical Coding Books
    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

  2. #2
    how about 52353?

    Here is a CPT assistant about it:

    Questionoes 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

  3. #3
    Default urology question
    and that would include the urethra????

  4. #4
    Albany, New York
    Have you looked at 52315 or 52318?
    Karen Maloney, CPC
    Data Quality Specialist

  5. #5
    Default urology question
    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.

  6. Default
    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.

  7. #7
    look at code series 52320-52353 for ureteral procedures

  8. Default
    Although this is a helpful answer, I am looking for a lithotripsy of the urethra, not the ureters.

  9. #9
    If you look up lithotripsy of urethra in the index of the CPT book it refers you to 52353.
    Last edited by bethh05; 03-23-2009 at 12:13 PM.

  10. Default
    I have the same problem to find out if cpt 52320 is bundled into 52353/ removal of stone? did you get the answer?

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