Does CPT code 50590 need a modifier?

Medi-Cal covers Extracorporeal Shock Wave Lithotripsy (ESWL) for treating calculi in the renal calyces, the renal pelvis and in the proximal third of the ureter. Providers must bill ESWL using CPT® procedure code 50590 with the appropriate modifier.

Can modifier RT and 59 be used together?

Modifier 59 should not be appended to either code to report the two procedures for the same side of the body. If the two procedures were performed on different sides of the body, they may be reported with modifiers LT and RT as appropriate.

What is the CPT code for lithotripsy?

CPT 52356 (Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent [eg, Gibbons or double-J type]) includes the following parenthetical in the CPT code book: “(Do not report 52356 in conjunction with 52332, 52353 when performed together on the same side) …

Is fluoroscopy included in 50590?

Q. Is CPT® code 76000, Fluoroscopy (separate procedure), up to one hour physician time, other than 71023 or 71034 (e.g., cardiac fluoroscopy) inherent in CPT® code 50590, Lithotripsy, extracorporeal shock wave? A. Yes, fluoroscopy has been bundled into ESWL.

What is a 51 modifier?

Modifier 51 Multiple Procedures indicates that multiple procedures were performed at the same session. It applies to: Different procedures performed at the same session. A single procedure performed multiple times at different sites. A single procedure performed multiple times at the same site.

Can CPT 52351 and 52332 be billed together?

Insertion of an indwelling stent (52332) should always be charged in addition to a ureteroscopy (52351-52354) by adding the 59 modifier. The retrograde (52005) is a little trickier. If this is a diagnostic retrograde, then it should be charged in addition to the other two codes.

What is RT modifier?

In some instances, procedure codes do not indicate on which side of the body a procedure is performed. In those instances, the modifier LT (left) or RT (right) is used to indicate the side of the body on which a service or procedure is performed.

Can 52235 and 52332 be billed together?

A: The CCI considers code 50590 as bundled into code 52353, but, fortunately, the CCI no longer lists 52332 as bundled into either code.

What is a 79 modifier used for?

Modifier 79 is appended to a procedure code to indicate that the service is an unrelated procedure that was performed by the same physician during a post-operative period.

Is a cystoscopy the same as a ureteroscopy?

Points to Remember. Cystoscopy and ureteroscopy are procedures used to view the inside of the bladder, urethra, and possibly the ureters. A cystoscope is an instrument used to examine the urethra and bladder. A ureteroscope is an instrument used to examine the ureters.

How to report a kidney stone with 50590?

Report 50590 with modifier -50 (Bilateral procedure) in this case. Remember: Use -LT (Left) and -RT (Right) modifiers to indicate which kidney the ESWL targeted Center says. If the left kidney stone is treated first use 50590-LT; for the second ESWL use 50590-RT-58.

Can you code for the stent placement code 50590?

In the operating room the urologist places a stent. Code 50590 has a 90-day global period so the postoperative stent placement would normally be included in the fee for 50590. Can you code for the stent placement?

How many global days does CPT 50590 have?

CPT 50590 has 90 global days so any procedures performed during this period will need modifiers. If CPT 52332 & 52353 are related to the ESWL (which they probably are) add a 58 modifier to each code.

How to bill for 50590 with 52332 and 52353?

Dr performed 50590, 19 days later 52332 and 52353….tried to bill but got denied for the 52332/52353 for global. I don’t see 52353 w/ 50590 and a code 9 for the 52332…Need help to understand if these both fall under the global of 50590 or if there is a mod I can use ???