The doctor is correct.
50590 is for extracorporeal shockwave lithotripsy, but it is not specific to an anatomical area. The rule is, if the code is not for a specific anatomical area and more than one area is worked on, then you can code for each individual area separately so long as it's documented in the medical record and it is by the op reports.
The renal area is in the kidneys. The ureters are located between the kidneys and the bladder. Since the left and right ureters are worked on, then they can be coded separately.
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