What is the correct coding for a facility treating a patient with extracorporeal shockwave lithotripsy and cystourethroscopy?
I don’t believe it should be 52353 because the lithotripsy it refers to is not shockwave lithotripsy. I believe it should be 50590 plus the appropriate cysto code. A The correct code for ESWL is 50590. The cystourethroscopy code 52000 as well as the cysto with retrograde code 52005 are considered to be included in the 50590 and can only be billed if done for a purpose other than preparation for ESWL. A modifier –59 is needed on either cysto code if it is appropriate to report. In the instance where a cysto with retrograde (52005) is performed as a diagnostic service that leads to the diagnosis and then immediate treatment of the stone with ESWL, the modifier –58 should be appended to the 52005 instead of modifier –59. Q Would you apply modifier –52 to code 54162 if done in the office under local anesthesia? A No. It is not necessary to add a modifier to 54162 (lysis or excision of penile post-circumcision adhesions) if performed in the office. The –52 modifier is a reduced service modi
