Can 52310 and 52356 be billed together?
According to NCCI they cannot be billed separately. CPT 52310 has a “separate procedure” indication in the code description meaning its typically included in other CPT codes and not separately reportable.
Does CPT 52310 need a modifier?
If appropriate, insert a urinary catheter for postoperative drainage.” Due to this wording, CPT code 52310 would be billed once even for bilateral ureteral stent removal, and no modifier should be used in an attempt to bypass the edit.
Can 52332 and 52356 be billed together?
Do not report 52356 in conjunction with 52332, 52353 when performed together on the same side.
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.
Can CPT 52310 be billed bilaterally?
Unfortunately, Medicare has also determined that code 52310 cannot be reported for bilateral services.
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 …
Can CPT codes 52352 and 52356 be billed together?
Additionally: “CPT® code 52352-59-76 (Repeat procedure or service by same physician or other qualified health care professional) may also be billed with 52356 when a calyceal stone has also been removed at the same encounter from the same kidney when a renal pelvic stone has also been fragmented and a JJ stent placed ( …
Can CPT code 52352 and 52356 be billed together?
Can CPT 52352 and 52353 be billed together?
Per their recommendation, you can bill a 52353 and a 52352 on the same side, if done in separate structures to separate stones.
Does CPT 52356 need a modifier?
When you report 52356 for one side, such as the left, you may append modifier LT (Left side), which includes insertion of the stent on the left side. When the same procedure is also completed bilaterally during the same encounter, you can simply report 52356 with modifier 50 (Bilateral procedure).
Can CPT 52356 be billed bilaterally?
When the same procedure is also completed bilaterally during the same encounter, you can simply report 52356 with modifier 50 (Bilateral procedure). This indicates that the urologist performed the same procedure on both sides, including stent placement.
Does CPT code 52356 need a modifier?
EncoderPro shows that both RT and LT are acceptable modifiers for CPT 52356. If bilateral, modifier 50 may be used.