Does 52005 need a modifier?

No additional payment is made when the procedure is billed with bilateral modifier “-50.” Neither is any additional payment made when both ureters are examined and code 52005 is billed with multiple surgery modifier “-51.” It is inappropriate to bill code 52005 twice, once by itself and once with modifier “-51,” when …

Can CPT code 52332 and 52005 be billed together?

52332 includes 52005. Can be unbundled for example if done on different sides.

Can CPT code 52005 be billed bilaterally?

–Code 52005 has a zero in the bilateral field (payment adjustment for bilateral procedure does not apply) because the basic procedure is an examination of the bladder and urethra (cystourethroscopy) which are not paired organs.

What is the CPT code for 52204?

Urethra and Bladder Transurethral Surgical Procedures
CPT® Code 52204 in section: Urethra and Bladder Transurethral Surgical Procedures.

Can you have a stent put in your kidney?

Blocked kidney(s) require ureteral stent placement. A ureteral stent is a thin tube that’s placed in your ureter to help drain urine from your kidney (see Figure 1). One end of the tube is inside your kidney and the other end is in your bladder. Ureteral stents can be used for several weeks, months, or years.

Can 52356 and 52352 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) …

What are the code combinations for CPT 50000?

51701-51703 51700 Note:These code combinations will not be paid, even if billed with a modifier. 51700 is an integral component of the other services. 52005 50590

When do you not report CPT code 52601?

Benign Prostatic Hyperplasia (BPH) TURP (Transurethral resection of the prostate) Instrument with a loop Do not report CPT 52601 when laser is used • Use visual laser ablation of the prostate(VLAP) • see CPT codes 52647-52648 For other approaches see CPT codes 55801-55845 • Modifier 58 as necessary CPT Short Description SI APC

When to use multiple surgical procedures modifier codes?

Practitioners are urged to familiarize themselves with the criteria listed in CPT and in the following policies. Modifier Code 59 Modifier Code 76 Modifier Codes 78 and 79 Multiple Surgical Procedures Modifier codes should only be used when the service meets the criteria described in CPT and HMSA’s policies.

Which is CPT code for multiple endoscopy procedures?

Note:Some codes in the 50000 section are also subject to HMSA’s Multiple Endoscopy Procedurespolicy. Codes from the 50000 series billed with other codes from the Surgery and Radiology sections CPT Code(s) CPT Code(s) 64435 58558 64450 54150, 55700