What is the CPT code for stone extraction?

52317 Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (<2.5 cm)

What is procedure code 52332?

In contrast, insertion of an indwelling or non-temporary stent (CPT® code 52332) involves the placement of a specialized self-retaining stent (e.g. J stent) into the ureter to relieve obstruction or treat ureteral injury. This requires a guidewire to position the stent within the kidney.

What is the CPT code 52310?

In the situation where the dangle is still within the urethra and a cystoscope is used to perform urethroscopy and a grasper is used to grab the dangle for removal, use CPT code 52310 (Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder [separate procedure]; simple).

Can CPT 52351 and 52332 be billed together?

Insertion of an indwelling stent (52332) should always be charged in addition to a ureteroscopy (52351-52354) by adding the 59 modifier. The retrograde (52005) is a little trickier. If this is a diagnostic retrograde, then it should be charged in addition to the other two codes.

What is procedure code 52356?

Code 52356 (cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent [eg, Gibbons or double-J type]) includes the performance of lithotripsy and the insertion of the indwelling stent on the same side.

What is the difference between CPT 51701 and 51702?

51701, Insertion of non-indwelling bladder catheter (e.g., straight catheterization for residual urine). APC 00340, status indicator X. 51702, Insertion of temporary indwelling bladder catheter; simple (e.g., Foley).

Can CPT codes 52356 and 52353 be billed together?

CPT 52356 (Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent [eg, Gibbons or double-J type]) includes the following parenthetical in the CPT code book: “(Do not report 52356 in conjunction with 52332, 52353 when performed together on the same side) …

Is CPT 52005 a bilateral procedure?

Cystourethroscopy With Ureteral Catheterization (Code 52005). –Code 52005 has a zero in the bilateral field (payment adjustment for bilateral procedure does not apply) because the basic procedure is an examination of the bladder and urethra (cystourethroscopy) which are not paired organs.

Can CPT 52356 be billed bilaterally?

For example, if a patient is found on imaging to have a stone in both the left and right ureter, a CPT 52356 – Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent may be performed and reimbursed when being performed bilaterally.

What is SPT surgery?

A suprapubic tube (SPT) is a catheter that is inserted into the bladder through a hole in the lower abdomen. This procedure may be done in the office using just a local anesthetic(numbing medicine in the area) or may be done in the hospital under heavy sedation or even general anesthesia.

What is the CPT code for stone management?

Stone Management 2019 Coding & Payment Quick Reference CPT Codes (cont’d) CPT® Code Code Description PCNL 50080 Percutaneous nephrostolithotomy or pyelostolithotomy, with or without dilation, endoscopy, lithotripsy, stenting, or basket extraction; up to 2 cm

What are the codes for bladder stone removal?

The bladder stone fragmentation codes — 52317 (litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small [less than 2.5 cm]) and 52318 (… complicated or large [over 2.5 cm]) — are unilateral only.

How to use CPT 52356 for removing multiple stones?

How to pay for cystourethroscopy for stone removal?

Cysto with stone removal. When performing stone removal under fluoroscopy without a ureteroscope bill for multiple stones in one ureter by appending modifier -22 (unusual procedural services) to 52320 (cystourethroscopy [including ureteral catheterization]; with removal of ureteral calculus).

What is the CPT code for stone extraction? 52317 Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (<2.5 cm) What is procedure code 52332? In contrast, insertion of an indwelling or non-temporary stent (CPT® code 52332) involves the placement of a specialized self-retaining stent (e.g.…