Find the Online Solution that’s the right fit for you |  Compare & SaveLearn More >>
Urology Coding Alert

Reader Questions: 52310 vs. 52315: Embedding Makes a Difference

- Published on Wed, Nov 24, 2010
Question: A patient had stones embedded in the prostatic urethra. My urologist used the grasping forceps to retrieve the stones. I'm confused by the wording in the CPT manual for 52310 and 52315. Which code should I use to report this procedure?Answer: You should report 52315 (Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder [separate procedure]; complicated) for the complicated removal of the prostatic urethral stones. This represents urethral calculi that are embedded into the prostatic urethra making their removal much more difficult as the urologist must "dig" the calculi out of the prostate gland. You would use 52310 (... simple) for a simple removal.Assign a diagnosis code using 602.0 (Calculus of prostate) for the prostatic calculi/stones.

Get 14-Day Fully-Functional Free Trial of Physician Coder

Get access to all your specialty alerts and archived articles along with some comprehensive tools including:
  • Code Search for CPT®, HCPCS, ICD-9 and ICD-10
  • CCI Edits Checker
  • Part B Fees, MUEs
  • CPT-ICD-9 CrossRef
  • CPT® ↔ ICD-9 ↔ ICD-10 CM Crosswalk
  • LCD/NCD Lookup
  • CMS 1500 Claims Scrubber
  • NDC ↔ CPT/HCPCS CrossReference
First Name: *
Last Name: *
User Name: *
E-mail: *
Phone: *
Choose Speciality*
Please enter the characters shown in box*