Does 52332 require a modifier?

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.

Can CPT code 52332 and 52005 be billed together?

52332 includes 52005. Can be unbundled for example if done on different sides.

Can CPT code 52332 be billed bilaterally?

It is appropriate to bill the CPT® code 52332 with modifier -50 Bilateral Procedure, to indicate the procedure was done bilaterally.

Can CPT codes 52356 and 52005 be billed together?

Note: CPT® Code 52005 should be billed based upon the procedure performed and documentation of the procedure, but should not be billed if included into other procedures.Do not report CPT® code 52005 during diagnostic or therapeutic cystourethroscopy with ureteroscopy and/or pyeloscopy as it is included in CPT® 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.

Does 52005 need a modifier?

A . Cystourethroscopy With Ureteral Catheterization (Code 52005). Neither is any additional payment made when both ureters are examined and code 52005 is billed with multiple surgery modifier “-51”.

Is fluoroscopy included in 52356?

Cystourethroscopy and transurethral procedures include fluoroscopy when performed. CPT codes describing fluoroscopy or fluoroscopic guidance (e.g. 76000, 77002) should not be reported separately with a cystourethroscopy or transurethral procedure CPT code.

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.

How do I code a urologist?

Procedure Codes For most urological procedures, the appropriate codes can be found in the urinary and male genital sections under CPT® codes 50010 through 55899. However, some procedures commonly billed by urologists are in other sections. For example, ultrasound services are listed in the CPT® code 76xxx series.)

What does 52332 mean?

CPT code 52332 (Cystourethroscopy, with insertion of indwelling ureteral stent) describes insertion of a self-retaining indwelling stent during cystourethroscopy with ureteroscopy and/or pyeloscopy and shall not be reported to describe insertion and removal of a temporary ureteral stent during diagnostic or therapeutic cystourethroscopy with ureteroscopy and/or pyeloscopy (e.g., CPT codes 52320-52330, 52334-52355).

What is billing code 52332?

Cystourethroscopy with Insertion of Indwelling Ureteral Stent (CPT Code 52332): Documenting Urinalysis to Support Medical Necessity. Reducing Medicare payment errors is a major focus for CMS and its contractors, including CGS. This effort has prompted several auditing projects designed to identify and recover improper payments, many of which are due to documentation errors.

What is the CPT code for removal of a cyst?

Illinois Subscriber Answer: The correct code for the cyst removal is 26160 ( Excision of lesion of tendon sheath or joint capsule [e.g., cyst, mucous cyst, or ganglion], hand or finger). Note that CPT directs you to other codes for excision of a ganglion affecting the wrist or trigger digit.

What is the CPT code for change of a suprapubic catheter?

For changing of a urinary catheter use CPT® code 51702 Insertion of temporary indwelling bladder catheter; simple (e.g., Foley) or CPT® code 51703 complicated (e.g., altered anatomy, fractured catheter/balloon ). For changing of a suprapubic catheter, use CPT® code 51705 Change of cystotomy tube; simple or CPT® code 51710 complicated.