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Coding 52318 with 50590

Cheryl Posted Fri 19th of June, 2015 12:02:05 PM

These codes are not bundled in the CCI edit checker but if the doctor tried to remove large bladder stones using electrohydraulic lithotripsy and the stones were to dense to break up so he switched to the holmium laser and was successful would it be appropriate to code it with both the 52318 and 50590,52 modifier?

SuperCoder Answered Mon 22nd of June, 2015 01:01:49 AM

You cannot bill CPT code 50590 as it represents Lithotripsy, extracorporeal shock wave. Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters. As electrohydraulic lithotripsy was done on Bladder stone and instrument changes to holmium laser to complete the procedure, only CPT code 52318 should be billed. CCI edits do not showing bundling between 50590 and 52318, as these code procedures performed on different organs (kidneys and bladder respectively).

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