decisionhealth Newsletters, Coder Pink Sheets - 2002 Issue 9 (September)
Use -22 for multiple stone removal by ureteroscopy
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Article Overview
This premium coding article is aimed at urology coders and billing staff who need guidance on reporting urinary stone treatment when more than one stone is involved. It discusses the broad differences between ESWL and ureteroscopic approaches, when extra work may be reflected with a modifier, and how bilateral treatment scenarios are commonly addressed for reimbursement and claim handling.
Why This Topic Matters
Stone cases can involve multiple procedures, laterality, and varying operative effort, so correct reporting affects claim acceptance and payment accuracy. The article helps readers understand the general documentation and billing considerations involved in these situations.
Article Sections
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Multiple stone removal and modifier considerations
This section discusses general billing considerations when more than one urinary stone is treated and the procedure requires additional work or documentation. It contrasts broad reporting concepts for ESWL and ureteroscopic stone management.
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Bilateral billing
This section addresses general laterality issues when stone treatment involves both sides. It covers broad differences in how bilateral procedures may be reported and documented for related urologic services.
What You Will Learn
- How the article frames coding considerations for multiple urinary stone procedures
- What general factors are discussed when extra work may affect reporting
- How bilateral treatment scenarios are presented for urologic stone procedures
- What types of documentation and claim-submission issues are mentioned
Who Should Read This
- Urology coders
- Medical billers
- Revenue cycle staff
- Physician office billing personnel
- Coding auditors
Codes Discussed
Modifiers Discussed
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