tci Part B Insider - 2011 Issue 27

Reader Question: Know When Product Cost is Included in Surgery

Question: We have a patient that needs a special ureteral stent, and we had to order it ourselves. The urologist inserted the special stent cystoscopically in the hospital (52332). The hospital does not deal with the company that supplied these other stents that worked so well for this patient. The surgery will not cover the stent cost. All total the stent costs $160.10. How do we go about having the patient pay for this stent?New Mexico SubscriberAnswer: Since your physician performed the procedure, 52332 (Cystourethroscopy, with insertion of indwelling ureteral stent [e.g., Gibbons or double-J type])...

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