Does CPT code 50590 need a modifier?

Does CPT code 50590 need a modifier?

Extracorporeal Shock Wave Lithotripsy Providers must bill ESWL using CPT® procedure code 50590 with the appropriate modifier.

Can CPT code 50590 and 52005 be billed together?

Yes, on the CCI it has a “1”, you can bypass with a ’59’ modifier IF you have enough documentation to support the procedure.

What is the CPT code 50590?

Lithotripsy Procedures
CPT® Code 50590 in section: Lithotripsy Procedures on the Kidney.

Is fluoroscopy included in 50590?

Q. Is CPT® code 76000, Fluoroscopy (separate procedure), up to one hour physician time, other than 71023 or 71034 (e.g., cardiac fluoroscopy) inherent in CPT® code 50590, Lithotripsy, extracorporeal shock wave? Yes, fluoroscopy has been bundled into ESWL.

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) …

Can CPT 52352 and 52353 be billed together?

Per their recommendation, you can bill a 52353 and a 52352 on the same side, if done in separate structures to separate stones. For example, the provider does lithotripsy and basket removal of pieces of the stone in the kidney, and then also removes a separate stone in the ureter.

What is CPT code 52352?

CPT® Code 52352 in section: Cystourethroscopy, with ureteroscopy and/or pyeloscopy.

What happens during a fluoroscopy?

During a fluoroscopy procedure, an X-ray beam is passed through the body. The image is transmitted to a monitor so the movement of a body part or of an instrument or contrast agent (“X-ray dye”) through the body can be seen in detail.

Can 52352 and 52332 be billed together?

For example, CPT® code 52332 can be billed in addition to CPT® codes 52320-23440, 52334-52352, 52354, 52355 (consider appending modifier 51 if needed).

Can You Bill 52330 with code 50590?

Since 52330 is bundled into code 50590 bill 50590 for the ESWL and 52330 for the stone manipulation with modifier -59 (Distinct procedural service). Modifier -59 indicates that the stone manipulation was performed earlier in the day at a previous separate encounter.

Is there a code 9 for CPT 52353?

I don’t see 52353 w/ 50590 and a code 9 for the 52332…Need help to understand if these both fall under the global of 50590 or if there is a mod I can use??? CPT 50590 has 90 global days so any procedures performed during this period will need modifiers.

Can You Bill CPT code 50590 for each stone the urologist finds?

Can you bill CPT code 50590 for each stone the urologist fragments? Solution: Sorry – if there are several stones in one kidney you cannot charge 50590 more than once for that session says Carolyn Zell CPC billing manager for the Urology Team in Austin Texas. Problem: The urologist finds stones in both the right kidney and the right ureter.

What does CPT code 50590 mean for ESWL?

CPT code 50590 includes no clear guidance on number of stones or number of treatments rendered. Some have interpreted the code to mean that ESWL is one charge, regardless of the number of stones or positions required. Others have interpreted the description to mean that each separately positioned ESWL should be coded separately.