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Lithotripsy and Manipulation of Calculus

Nicole Posted Wed 20th of April, 2016 09:06:07 AM
When the doctor is performing a laser lithotripsy with stent insertion or stent exchange as well as the stone basketing, can the following be billed: 52356- lithotripsy/stent insertion 52352 (59)- removal or manipulation of calculus My question is more geared towards the 52352 being able to be billed as well OR is that included in the 52356? The CPT book states that you cannot report 52356 in conjunction with 52332 and 52353 but does not mention the 52352. Thanks for the help!
SuperCoder Answered Thu 21st of April, 2016 08:49:34 AM
Hi Nicole, As per the given documentation, the provider performed stone basketing, which seems to be covered by code 52352. I think modifier 59 can be used to break the bundle between 52356 and 52352 if the doctor performs the two procedures on opposite sides. However the exact answer here depends on the specific details of your case.
Nicole Posted Thu 13th of July, 2017 15:46:12 PM
Back to this same question again.. If the Lithotripsy is done and the stones were ablated into multiple pieces, then the pieces were removed with a stone basket... can the 52352 be billed with the 52356?
SuperCoder Answered Fri 14th of July, 2017 01:37:30 AM

You can bill the two codes together with an appropriate modifier to unbundle them. Thank you.

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