tci Outpatient Facility Coding Alert - 2016 Issue 7

Reader Question: Submit 'Unlisted' for Laser Destruction of Blood Clot

Question: Our doctor wants to use 52317 for laser of a blood clot and evacuation. Would this be appropriate? Kentucky Subscriber Answer: No, 52317 (Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small [less than 2.5 cm]) would not be correct. Here’s why: Code 52317 involves crushing and fragmentation of stones in the bladder, not the blood clot. There is no direct code for evacuation of a blood clot using a laser technique, so you’ll need to report the service as an unlisted procedure with 53899 (Unlisted ...

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