CPT^® 52318, Under Urethra and Bladder Transurethral Surgical Procedures

The Current Procedural Terminology (CPT^®) code 52318 as maintained by American Medical Association, is a medical procedural code under the range - Urethra and Bladder Transurethral Surgical Procedures.

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Summary

The provider performs a complicated cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into the bladder, and localizes, crushes, and removes a large stone over 2.5 cm in size.

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Cystoscopy with fulguration of active bleeder at the 2 o'clock position on the bladder neck. Clot evacuation. Cystolitholapaxy

[QUOTE="Willow11, post: 514878, member: 164126"] PROCEDURE NOTE: As follows: After obtaining informed consent, the patient was brought to the operative suite where he was prepped and draped in the usu... [ Read More ]

Cystoscopy with fulguration of active bleeder at the 2 o'clock position on the bladder neck. Clot evacuation. Cystolitholapaxy

PROCEDURE NOTE: As follows: After obtaining informed consent, the patient was brought to the operative suite where he was prepped and draped in the usual sterile fashion in the dorsal lithotomy positi... [ Read More ]

Help with Cystolitholapaxy

52317 or 52318. Depends what the size is.... [ Read More ]

Channel TURP ( superficial resection of bladder neck mucosa and mucosa of prostatic base).

Hello I have a Cystolitholapaxy stone size greater than 2.5cm along with per Dr. a Channel TURP 1). Cystolitholapaxy 2). Channel TURP 3). Bilateral retrograde pyelogram " Bladder stone attached to ... [ Read More ]

52310 or 52315?

I would suggest the following coding for your clinical scenario: 52318 for the crushing and removal of several stones 52310-XS for removal of the single stent... [ Read More ]

Laser Lithotripsy of Prostate Stone?

Usually prostatic calculi are small. Code 52317 as this code includes bladder and urethra as this code and 52318 fall under the heading of urethra and bladder in the CPT manual.... [ Read More ]

Litholapayx 52317 vs 52318

The description of these codes state: ; simple or small ( 2.5 cm) Do you code of the path report sizes if not stated by the MD? Do you code by simple and what would be the definition of simple? or... [ Read More ]

2-3 cm bladder stone

Physician did a Cystolitholapaxy. Not sure if I should code this as 52317 or 52318. What are your thoughts?... [ Read More ]

Manual Cystolitholapaxy

Per the definition of CPT 52317: "Litholapaxy: crushing or fragmentation of calculus by any means..." The use of a grasper to manually crush the stone is still considered litholapaxy. You may also... [ Read More ]

Revenue code for CPT 52318

CPT 52318 Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm). Ideally this would be captured under revenue code 49... [ Read More ]

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