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Litho 52353 with stent removal 52310

  1. Thumbs down Litho 52353 with stent removal 52310
    Medical Coding Books
    Is there any way to get these two codes paid together I tried modifier 58 and it was denied.

  2. Default post op/ new stent ?
    Quote Originally Posted by lisamiller1123 View Post
    Is there any way to get these two codes paid together I tried modifier 58 and it was denied.

    It is hard to tell without the documentation.

    Is it a post-op period ?
    Is a NEW stent inserted ?
    If yes, you cannot bill for the stent removal 52310 because it must be done as a separate procedure. CCI bundles 52310 into the primary px 52353.

    I'd assign 52353-58 + 52332-58 (following CMS cci edits).

    Still need the documentation to give you a correct answer.

  3. #3
    52310 bundles with 52310

    52353, 52332-59

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