April 2009 page 8
Anesthesia, 52353, 00862, 00918 (Q&A)
Question: Please clarify whether anesthesia code 00862,
Anesthesia for extraperitoneal procedures in lower
abdomen, including urinary tract; renal procedures,
including upper one-third of ureter, or donor nephrectomy,
is reportable in conjunction with code 52353,
Cystourethroscopy, with ureteroscopy and/or pyeloscopy;
with lithotripsy (ureteral catheterization is included),
when the kidney or upper third of the ureter is involved.
Specifically, does the calculus have to be in the kidney or the
upper third of the ureter to report code 00862? May code
00862 be reported whenever the cystoscope is passed that
high...
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articles:
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This article is a short CPT Assistant Q&A for anesthesia coders and urology-related billing staff. It addresses how anesthesia reporting is discussed in the context of a cystourethroscopy procedure with lithotripsy and compares guidance tied to upper urinary tract involvement versus transurethral calculus treatment. The piece is useful for understanding the scope of the question, the codes involved, and the coding topic addressed in the April 2009 issue.
Why This Topic Matters
Anesthesia reporting can vary depending on the anatomic site and procedural context. This article helps readers identify when the guidance in the Q&A applies to a urologic case and what coding issue the publication is clarifying.
Article Sections
April 2009 page 8
A brief CPT Assistant Q&A focused on anesthesia reporting in a urologic procedure context. The section presents the coding question and the publication’s response in summary form.
What You Will Learn
The general anesthesia coding topic addressed in a urology-related Q&A
How the article frames the relationship between procedure location and anesthesia reporting
The scope of the April 2009 CPT Assistant discussion
Which code sets are involved in the published question and response
Who Should Read This
Anesthesia coders
Urology billing and coding staff
Physician coders
Revenue cycle professionals
Codes Discussed
CPT: 52353
CPT: 00862
CPT: 00918
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