AMA CPT® Assistant - 2012 Issue 2 (February)

Surgery: Urinary System (Q&A) (February 2012)

February 2012 page 11a Surgery: Urinary System Question: What is the correct CPT code for reporting cystoscopy with electrohydraulic lithotripsy of a bladder calculus? Answer: Depending on the size of the stone removed and documented in the procedure report, it would be appropriate to report either code 52317, Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm), or code 52318, Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm), when a scope...

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