CPT Knowledgebase - Jan 8, 2008

Does code 52353 include laser lithotripsy of ureteral calculus with ureteroscopy and ureteral catheterization? Answer: Yes. Code 52353, Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included), includes the fragmenting of the stone with a laser lithotripsy through the ureteroscopy as well as the ureteral catheterization, if performed. If a cystourethroscopy without ureteroscopy is performed with lithotripsy to fragment ureteral stones, then code 52325, Cystourethroscopy including ureteral catheterization; with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique), should be reported.

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