CPT Knowledgebase - Feb 6, 2025

What would be the appropriate code to report cystoscopy with ureteroscopy and laser lithotripsy with steerable vacuum stone extraction for renal and/or ureteral stones, based on the information below? A 20 French rigid cystoscope was inserted into the bladder. The semirigid ureteroscope was inserted into the ureter, and a stone was noted in the distal ureter. Laser lithotripsy was used to fragment the stone into small pieces, and the fragments were removed with a zero tip. A second wire was passed to the kidney, and the semirigid ureteroscope was removed. An 11/13 access sheath was placed under fluoroscopic guidance. The full collecting system was surveyed with the single-use central venous access catheter ureteroscope. Exhaustive steerable vacuum aspiration was performed in the upper pole using continuous fluid irrigation, increased fluid flow to mobilize the stones, and intermittent vacuum aspiration.

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