Does CPT code 50590 need a modifier?

Extracorporeal Shock Wave Lithotripsy Providers must bill ESWL using CPT® procedure code 50590 with the appropriate modifier.

What is the CPT code 50590?

Lithotripsy Procedures
CPT® Code 50590 in section: Lithotripsy Procedures on the Kidney.

Can CPT code 50590 and 52005 be billed together?

~~52005 is bundled because it is considered a component of 50590. Be careful on how liberally you use modifier 59.

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.

Can CPT 52352 and 52353 be billed together?

Our office follows AUA coding guidelines. Per their recommendation, you can bill a 52353 and a 52352 on the same side, if done in separate structures to separate stones.

What is CPT code 52352?

CPT® Code 52352 in section: Cystourethroscopy, with ureteroscopy and/or pyeloscopy.

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) …

Can 52352 and 52332 be billed together?

For example, CPT® code 52332 can be billed in addition to CPT® codes 52320-23440, 52334-52352, 52354, 52355 (consider appending modifier 51 if needed). For bilateral insertion of ureteral stents, append modifier 50. CPT® code 52332 is included in CPT® code 52356 and should not be reported separately.

Does CPT code 52332 need a modifier?

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

Can you code for the stent placement code 50590?

In the operating room the urologist places a stent. Code 50590 has a 90-day global period so the postoperative stent placement would normally be included in the fee for 50590. Can you code for the stent placement?

Can You Bill CPT code 50590 for each stone the urologist finds?

Can you bill CPT code 50590 for each stone the urologist fragments? Solution: Sorry – if there are several stones in one kidney you cannot charge 50590 more than once for that session says Carolyn Zell CPC billing manager for the Urology Team in Austin Texas. Problem: The urologist finds stones in both the right kidney and the right ureter.

What does CPT code 50590 mean for ESWL?

CPT code 50590 includes no clear guidance on number of stones or number of treatments rendered. Some have interpreted the code to mean that ESWL is one charge, regardless of the number of stones or positions required. Others have interpreted the description to mean that each separately positioned ESWL should be coded separately.

What is the CPT code for multiple stones?

In this “Coding Q&A” column, Ray Painter, MD, and Mark Painter answer several reader questions involving billing for multiple stones, including replacements for the –59 modifier, use of CPT code 50590, and NCCI guidelines and multiple stones.