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AAPC CPC Practice Exam Study Guide

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The patient is a very pleasant 72-year-old female noted to have bilateral nephrolithiasis. Her left stones were treated ureteroscopically and her right stone was very large. It was treated with an ureteroscopic procedure. She comes in today for her second ureteroscopic procedure to remove the remaining stone fragments. Right ureteroscopy, laser lithotripsy and right ureteral stent exchange were performed. What CPT® codes are reported for this service?
Correct Answer:
52353, 52310, 52332
Explanation:
Rationale: Ureteroscopic procedures have no global period and the use of modifier 58 or 76 would not be appropriate. Though a stent exchange was performed, you do not report removal of the previous stent (52310). You would report the laser lithotripsy (52353) and stent insertion (52332) with no modifier(s) appended. In the Index, look up Lithotripsy/Ureter directing you to 52353. In the Index, look up Cystourethroscopy/Insertion/Indwelling Ureteral Stent directing you to 52332

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