Denise Posted Tue 23rd of June, 2015 14:28:28 PM
We had a MEDICARE patient that had the following procedures on the same day.
Cysto with LEFT stent removal and LEFT ureteroscopy with left ureteral stone removal CPT 52352-59lt linked with DX 592.1
RIGHT shockwave lithotripsy of RIGHT renal stone with RIGHT cysto and RIGHT ureteral stent removal CPT 50590rt linked with DX 592.0
(pt had previously had bilateral ureteral stent placement a few weeks earlier for severe pyelonephritis)
Can I bill for the bilateral stent removal and if so what diagnosis code do I use?
SuperCoder Answered Wed 24th of June, 2015 02:08:42 AM
Stent removal procedure is usually bundled and is included in the services of the CPT code 52352 and 50590. I would like to know which code you used for stent removal.
Denise Posted Wed 24th of June, 2015 15:27:02 PM
CPT 52310 cystourethroscopy, with removal of foreign body, calculus, or URETERAL STENT from urethra or bladder (separate procedure) simple.
I don't usually bill for the stent removal when combined with other procedures. I do bill for the cysto/stent removal CPT 52310 if it is the only procedure done, usually a week or so after the initial procedure (ie., ESWL, ureteroscopic stone removal)using modifier 58 if after a global procedure.
SuperCoder Answered Thu 25th of June, 2015 01:49:36 AM
As per coding guidelines, code 52310 is a column 2 code for 52352, These codes cannot be billed together in any circumstances.