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Need some help with the anesthesia code

  1. #1
    Default Need some help with the anesthesia code
    Medical Coding Books
    Principal Proc:
    Cystourethroscopy with right retrograde pyelogram
    Right ureteroscopy with laser lithotripsy and vascular extraction of calculus
    Placement of right 6x26 JJ stent

    We coded this as:

    52353 surgical code
    00918 anes code

  2. Default
    your choice is correct, if you go to the CPT index and look for "lithotripsy" you have the same code (52353) for bladder, urethra & ureter. For kidney stone removal you would use alternative anes code 00862. The key is to find out the site of the stone removal (bladder, urethra & ureter=00918, kidney=00862).

  3. Default Need some help with the anesthesia code
    I would code for the retrograde pyelogram, asa code 01922. Look at the May 2005 Anesthesia & Pain Coding Alert on pg 38, it gives you an example as to why code for the retrograde pyelogram.

    Alicia, CPC

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