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Urology coding need help...

  1. Red face Urology coding need help...
    Medical Coding Books
    I am new to the Urology coding and need some help...

    Op report states...
    cystoscope inserted per uretha w/ following observations: the bladder mucosa demonstrates no evidence of inflammatory or neoplastic lesion. the right and left ureteral orifices are in the normal position

    the left ureteral orifice was cannulated using a ureteral catheter and a sensor guidewire was passed to the level of the renal pelvis on the left under floroscopic guidence...

    a semirigid ureteroscope was passed into the left ureter and advanced to the distal ureter and a narrow area was encounter and need to be dilated using a dilating balloon. the ureteroscope was then passed to the level of obstructing stone. the stone was fragmented using the holmium laser and were retreived using a stone basket

    CPT codes used was 52344 and 52332 with 51mod

    thanks for any help

  2. Default
    Quote Originally Posted by nscott25 View Post
    I am new to the Urology coding and need some help...

    Op report states...
    cystoscope inserted per uretha w/ following observations: the bladder mucosa demonstrates no evidence of inflammatory or neoplastic lesion. the right and left ureteral orifices are in the normal position

    the left ureteral orifice was cannulated using a ureteral catheter and a sensor guidewire was passed to the level of the renal pelvis on the left under floroscopic guidence...

    a semirigid ureteroscope was passed into the left ureter and advanced to the distal ureter and a narrow area was encounter and need to be dilated using a dilating balloon. the ureteroscope was then passed to the level of obstructing stone. the stone was fragmented using the holmium laser and were retreived using a stone basket

    CPT codes used was 52344 and 52332 with 51mod

    thanks for any help

    I see 52353, LT

  3. Default
    52353 cysto, ureteroscopy with lithotripsy and stone basket extraction .
    (52332-59 for the stent if doc inserted one. )
    74485-26 for the professional component of the dilation of the ureters under radiological supervision and then....
    76000-26-59 for the fluoroscopy.

    Use your -LT modifier

    What was your primary diagnosis?? was it stricture or stones???

  4. #4
    Location
    Glendale Geckoders
    Posts
    19
    Default
    per CCI edits, 52332 AND 52353 do not bundle, why would we then use a modifier 59. A more appropriate modifier would be 51
    Last edited by bziegman; 10-30-2012 at 09:40 AM.
    Belinda Ziegman M.A. CPC

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