UCR 013: Kidney Stone Coding - a discussion about the CPT® and CMS rules and how they impact multiple stone billing in different locations.

July 2, 2020

Mark and Ray present the current CMS and CPT rules and how those rules affect coding for multiple stones.   As most are well aware, the rules are not always black and white and in this instance the rules leave plenty of room for interpretation.  Mark and Ray present the current rules and lay out a case for a fair interpretation based on work performed.


Additional Resources

Check out all of our previous stone coding articles:

Stone moves to kidney during URS; how should I bill?

How to bill when a stone changes location during procedure

FAQs – Coding for: 1) ESWL & Pancreatic Stones 2) Uroflow & TURP global

Update – Billing For Multiple Stones

Is modifier –22 an option for multiple stones?

Multiple stone removal coding: ‘X’ marks the spot

Multiple stones: Watch for –59 modifier replacements

How to use CPT 52356 for removing multiple stones

How to bill for separate stones in the same kidney

Coding for bladder stones depends on method used


Join the discussion:

Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.