Does CPT code of 52005 need a modifier on it?
CPT 52005 should not be billed with LT or RT modifiers as there are no paired organs for this CPT. You should also be able to bill the professional component of the retrograde with CPT 74420-26.
Can CPT code 52005 be billed with modifier 50?
Per Optum Coding Companion 2015 Urology/Nephrology -50 cannot be used on 52005; when our physicians perform bilaterally we bill 52005 with 2 units which is allowed; in some cases it is paid and other times it is not.
What is procedure code 52005?
The Current Procedural Terminology (CPT®) code 52005 as maintained by American Medical Association, is a medical procedural code under the range – Endoscopy-Cystoscopy, Urethroscopy, Cystourethroscopy Procedures on the Bladder.
Can CPT 52351 be billed bilaterally?
Ingenix does allow the bilateral -50 modifier, or the RT/LT modifiers, on 52351 and 52354.
Can CPT 52332 and 52005 be billed together?
52332 includes 52005. Can be unbundled for example if done on different sides.
Can CPT 52204 and 52005 be billed together?
Yes, if the ASC owned the equipment, you would bill with modifier -TC …and there should be an image available somewhere in the chart..
Can 52310 be billed bilaterally?
Unfortunately, Medicare has also determined that code 52310 cannot be reported for bilateral services.
Can CPT 52332 be billed bilaterally?
It is appropriate to bill the CPT® code 52332 with modifier -50 Bilateral Procedure, to indicate the procedure was done bilaterally.
Can CPT codes 52356 and 52005 be billed together?
Note: CPT® Code 52005 should be billed based upon the procedure performed and documentation of the procedure, but should not be billed if included into other procedures.Do not report CPT® code 52005 during diagnostic or therapeutic cystourethroscopy with ureteroscopy and/or pyeloscopy as it is included in CPT® codes …