Urology Coding Alert
Reader Question:
Fluoroscopy + ESWL = Denial
Published on Mon Nov 10, 2014
Question: When my urologist performs an ESWL, is ultrasound guidance and/or fluoroscopy inclusive? If not, can he bill the US guidance with 76998?
New Hampshire Subscriber
Answer: No, you cannot report 76998 (Ultrasonic guidance, intraoperative) or any other radiology guidance code with 50590 (Lithotripsy, extracorporeal shock wave).The fluoroscopy and ultrasound are included in the extracorporeal shock wave lithotripsy (ESWL) code. They are not separately billable services.
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