Is retrograde Pyelogram included in 52356?

A. According to Medicare Correct Coding Initiative (CCI) edits, retrograde pyelograms are bundled into cystoscopy codes 52320 through 52355 and cannot be unbundled, unless the procedure is performed on separate ureters.

Can CPT 52356 be billed bilaterally?

For example, if a patient is found on imaging to have a stone in both the left and right ureter, a CPT 52356 – Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent may be performed and reimbursed when being performed bilaterally.

Can 52332 and 52356 be billed together?

CPT® code 52332 is included in CPT® code 52356 and should not be reported separately.

Can CPT codes 52356 and 52353 be billed together?

CPT 52356 (Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent [eg, Gibbons or double-J type]) includes the following parenthetical in the CPT code book: “(Do not report 52356 in conjunction with 52332, 52353 when performed together on the same side) …

Does CPT code 50590 need a modifier?

Medi-Cal covers Extracorporeal Shock Wave Lithotripsy (ESWL) for treating calculi in the renal calyces, the renal pelvis and in the proximal third of the ureter. Providers must bill ESWL using CPT® procedure code 50590 with the appropriate modifier.

What is Procedure Code 96542?

CPT 96542, Under Other Injection and Infusion Services. The Current Procedural Terminology (CPT) code 96542 as maintained by American Medical Association, is a medical procedural code under the range – Other Injection and Infusion Services.

What does CPT code 33519 stand for?

The Current Procedural Terminology (CPT ®) code 33519 as maintained by American Medical Association, is a medical procedural code under the range – Combined Arterial-Venous Grafting for Coronary Bypass.

What is CPT code 58720?

The Current Procedural Terminology (CPT) code 58720 as maintained by American Medical Association, is a medical procedural code under the range – Excision Procedures on the Oviduct/Ovary.

Which is CPT code 43842?

Vertical-banded gastroplasty (VBG; CPT code 43842) was formerly one of the most common gastric restrictive procedures performed in the United States, but has now been replaced by other restrictive procedures due to high rates of revisions and reoperations. In this procedure, the stomach is segmented along its vertical axis.