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Outpatient Facility Coding Alert

You Be the Coder:
Decipher This ESWL Code

Question: In the ASC, the surgeon performed a diagnostic bilateral ureteroscopy, then a left ESWL. Fluoroscopic evaluation confirmed a stone in the left lower pole. After these studies, the urologist opted to perform an ESWL on the left side. Is the diagnostic ureteroscopy included in the charge for the ESWL or should I bill for the ureteroscopy withmodifier 59? South [...]