richa_singh
New
Hi, percutaneous nephrostolithotomy (PCNL) CPT descriptions have been updated for 2023 stating-
50080 (Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, or stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone up to 2 cm in single location of kidney or renal pelvis, nonbranching stones))
50081 (… complex (eg, stone > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)
Hoping to get some assistance on the the coding scenario where the documentation of stone size is greater than 2 cm but in a single kidney location.
Should we go accordingly with the >2 cm size and code 50081
OR
Should we go by the single location and code 50080.
Will the size prioritize over location for complexity?
Suggestions are appreciated
50080 (Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, or stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone up to 2 cm in single location of kidney or renal pelvis, nonbranching stones))
50081 (… complex (eg, stone > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)
Hoping to get some assistance on the the coding scenario where the documentation of stone size is greater than 2 cm but in a single kidney location.
Should we go accordingly with the >2 cm size and code 50081
OR
Should we go by the single location and code 50080.
Will the size prioritize over location for complexity?
Suggestions are appreciated