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Urology Coding Alert

Reader Question:

Method of Stone Removal Decides 52352 or 52320

Published on Sun Nov 18, 2012

Question: Our urologist performed an anesthetic cystoscopy with incision of a left ureterocele, removal of distal ureteral calculus, and placement of left indwelling stent. How do I code this procedures?Indiana SubscriberAnswer: You should report three codes for this procedure. First, report 52352 (Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus [ureteral catheterization is included]) if the stone is removed ureteroscopically or 52320 (Cystourethroscopy [including ureteral catheterization]; with removal of ureteral calculus) if your urologist removed the stone by grasping it with an instrument cystoscopically after the ureterocele had been opened exposing the stone.Second, report 52300 (Cystourethroscopy; with resection or fulguration of orthotopic ureterocele[s], unilateral or bilateral) for the incision of the ureterocele.Finally, report 52332 (Cystourethroscopy, with insertion of indwelling ureteral stent [eg, Gibbons or double-J type]) for the stent placement.
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