Urology Coding Alert
Reader Question:
Ultrasound Guidance Is Not Separate from Lithotripsy
Published on Tue Jan 14, 2020
Question: Is ultrasound guidance and/or fluoroscopy included in the procedure code when my urologist performs an ESWL? If not, can we also report the ultrasound 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 and so are not separately billable services.
Related Articles
Other Articles in this issue of
Urology Coding Alert
- Diagnosis Coding:
Avoid the Trap of Assigning N39.0 for Every UTI Diagnosis
Hit: Check whether other anatomic sites are involved. While a urinary tract infection (UTI) might [...] - Surgical Focus:
Are You Using These 2 Codes for Penile Repair?
Watch for the type of injury — and don’t confuse it with exploration. Coding for [...] - Compliance:
Fitness Trackers Might Have More Regulations Coming
Lawmakers are looking at ways to keep HIPAA on pace with technology. Healthcare apps, fitness [...] - You Be the Coder:
Reporting Ureteral Stent Placement Via Ileal Conduit
Question: The urologist placed a ureteral stent via the patient’s ileal conduit. He inserted the [...] - Reader Question:
Remember That 50948 Service Includes 50650
Question: We performed a robotic assisted laparoscopic distal left ureterectomy, psoas hitch of the bladder, [...] - Reader Question:
Turn to D49.59 for Pending PSA Results
Question: How should I code an extravesical ureteroneocystostomy the urologist performed laparoscopically with robotic assistance? [...] - Reader Question:
Add Modifier 62 for Case Involving 2 Surgeons
Question: One of our urologists performed a joint case with a general surgeon which involved [...] - Reader Question:
Ultrasound Guidance Is Not Separate from Lithotripsy
Question: Is ultrasound guidance and/or fluoroscopy included in the procedure code when my urologist performs [...] - Reader Question:
Turn to D49.59 for Pending PSA Results
Question: What ICD-10 code is correct to indicate the pathology is still pending for a [...] - Reader Question:
Code 13160 Applies to Scrotal Wound Dehiscence
Question: I’m attempting to code a case for closure of a scrotal wound based on [...] - Reader Question:
Report 52317 for Litholopaxy
Question: I’m looking for help coding for an excision of exposed urethral sling mesh via [...] - Reader Question:
Shunt Drainage Points to Best Priapism Code
Question: What are the best surgical codes for priapism? I don’t understand how to differentiate [...] - Reader Question:
Append Modifier 52 When Full Procedure Isn't Performed
Question: The patient’s Mitrofanoff stoma stenosed near the bladder end of the stoma. Our physician [...]
View All
