Wiki Billing for double J stents for both sides?

kathy a

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I had a patient who had cysto with lithotripsy done on both the right and the left. He also had 2 double j indwelling stents placed. His insurance is denying this. I used :

# 52353-RT,22
# 52353-LT
# 52332-50
# 74480-26
dx- 592.1

Our physician had difficulty on the right, so I added a 22 modifier to this one. I know that # 52353 states ureteral catherization is included. Being these are indwelling stents can't I bill for these as these aren't temporary? Would I have to add a 59 modifier to these. Would the correct way to bill this be #52332-59-50? I would appreciate any help. Thanks:confused:
 
You coded and billed correctly. Those codes are not bundled; what was the reason for insurance denying 52332-50?

I would definitely appeal.
 
I would bill the 52332 -RT, 52332 -LT some insur. co. dont want the -50 modifier. I usually have luck with the RT/LT.

Sheila
 
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