Wiki lt or rt modifier with cpt code 52356

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jenmar

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Does anyone know if CPT code 52356 (cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent) needs a left or right modifier? When I use the modifier in 3M encoder I get an edit. Any assistance is greatly appreciated!!! Thanks
 
EncoderPro shows that both RT and LT are acceptable modifiers for CPT 52356. If bilateral, modifier 50 may be used.

I hope that helps.

Jean Kayser CPC CIRCC
 
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Make sure you check with the carrier some will except the RT/LT and some want the 50 for a bilateral procedure. When you look for the code in your CPT book it will you know if it is able to be billed as a bilateral procedure. Once you locate this information then its all about the carrier. A lot of the carriers you can locate this information by going to their sites.

I hope this helps...
 
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