Results 1 to 3 of 3

52356 and 52352 XU

  1. #1
    Location
    Parkersburg, WV
    Posts
    20
    Default 52356 and 52352 XU
    New Call-to-action
    physician did a cystourethroscopy, retrograde ureteral pyelography, ureterscopy, holmium laser lithotripsy, basket stone extraction, and double j stent insertion. Would the basket extraction be coded separately with the 52352-XU? It is not excluded from 52356.

    Thank you for your help
    Rebecca

  2. #2
    Location
    Portland Rose City Oregon Chapter
    Posts
    39
    Default
    The basket extraction is separately reportable if it is done to a separate stone in a separate structure. For example, if the provider does lithotripsy of a ureteral stone, and then does basket removal of a separate kidney stone. In these cases, the most appropriate modifier would probably be XS, for separate structure or site.

    If the basket extraction is of pieces of a stone that the provider broke up, or is removal of stones in the same structure as the lithotripsy, then it is not reportable. For example, the provider does lithotripsy to stones in the kidney and then uses the basket to remove the pieces of the stone, or other stones in the kidney, then it is not reportable.

    Be aware, we have seen some denials from insurance companies that seem to only allow multiple stone procedures to be reported on if they are done on different sides of the body. For example, some payers will not allow reporting of 52356-RT and 52352-XS-RT even if the stones are distinct and in separate structures. You will have to check with your payers about their particular edits in this regard.

    Here is a good article that outlines reporting of multiple stone procedures:

    http://www.urologypracticetoday.com/...ltiple-stones/

    Hope this helps,

    Drew Vinson
    CPC
    NW Urology

  3. #3
    Location
    Parkersburg, WV
    Posts
    20
    Default
    Thank you very much for your help, I have done so much research and came up with a yes on another article with no mention of side. I am covering for our Urology coder while she is out this month and this on has really got to me.

    Very much appreciated,
    Rebecca
    Rebecca

Similar Threads

  1. 52356???
    By lcole7465 in forum Urology
    Replies: 2
    Last Post: 12-21-2017, 06:21 AM
  2. 52352
    By nc_coder in forum Urology
    Replies: 1
    Last Post: 01-27-2015, 07:53 AM
  3. 52352
    By nc_coder in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-15-2015, 09:26 AM
  4. ASA for 52356
    By rwmmdj in forum Anesthesia
    Replies: 3
    Last Post: 07-14-2014, 06:52 AM
  5. 52356
    By RainyDaze in forum Urology
    Replies: 13
    Last Post: 04-29-2014, 11:52 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.