Emmalia
Networker
I don't know if I am looking too far into this but I could definitely use a little insight.
Patient has a urethral stone along with a ureteral stone. Provider passes a cystoscope and pushes the urethral stones into the bladder and then breaks them up using a laser. The passes a urethroscope into the ureter to try to break up the ureteral stones, but is unsuccessful in reaching the stones. A double J stent is then inserted.
I'm looking at using code 52317-Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small and then using 52351-Cysto with ureteroscopy; diagnostic. There are no CCI edits with these two codes but the insurance is denying as inclusive. Now I'm wondering does code 52352-Cysto with ureteroscopy; with removal or manipulation of calculus, include removal of a calculus that is anywhere in the urinary system or does it have to be in the ureters?
Any insight would be appreciated. Thanks!
Patient has a urethral stone along with a ureteral stone. Provider passes a cystoscope and pushes the urethral stones into the bladder and then breaks them up using a laser. The passes a urethroscope into the ureter to try to break up the ureteral stones, but is unsuccessful in reaching the stones. A double J stent is then inserted.
I'm looking at using code 52317-Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small and then using 52351-Cysto with ureteroscopy; diagnostic. There are no CCI edits with these two codes but the insurance is denying as inclusive. Now I'm wondering does code 52352-Cysto with ureteroscopy; with removal or manipulation of calculus, include removal of a calculus that is anywhere in the urinary system or does it have to be in the ureters?
Any insight would be appreciated. Thanks!