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Billing 52356 with 52352 & 52320

Tierni Posted Tue 20th of December, 2016 11:44:14 AM
We have a provider who would like to bill the above codes together. The op report states that the Procedure title: Cystoscopy with ureteroscopy, Laser lithotripsy & stent placement. All done on left side (left renal stone with renal colic). Her selected codes are: 52356, 52352-59, 52320-59. Is the code selection correct?
SuperCoder Answered Wed 21st of December, 2016 06:22:01 AM

In CPT code 52352- inspection is done of the interior of the bladder through, the urethra, prostatic urethra, and ureteric openings by a cystoscope that is passed through the urethra and into the bladder and removes or manipulates a stone (calculus). To extract or manipulate a calculus, the physician passes the appropriate surgical instruments through an endoscope to perform the procedure. A ureteral catheter is inserted and the endoscope and instruments are removed. Report 52352 if the physician passes a stone basket through an endoscope to extract or manipulate a calculus. Whereas in CPT code 52320 there is almost same procedure with exception of uretoscopy, which is also done in your case. So, it is appropriate to bill 52356-LT and 52352-59,LT.

Tierni Posted Wed 21st of December, 2016 17:43:40 PM
Same physician: Multiple stones, stone in ureter manipulated into the renal pelvis, then flexible ureteroscopy with stone manipulation of mid and lower pole stones into the upper pole. Laser lithotripsy of stones in the upper pole. Then pyeloscopy, with additional stone in the lower pole, laser lithotripsy in the lower pole. Stent placed with string attached. Codes chosen: 52356, 52330-59, 52330-59, 52330-59, 52356-59, 76000-26, 59. Is this correct? Definitions of these codes are confusing considering Cystoureteroscopy is covered in each.
SuperCoder Answered Thu 22nd of December, 2016 04:27:10 AM

Since this is new query, kindly send it through new thread. Regards!

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