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UCR 221: FAQs - Bladder stone fragment, and basket coding; can substitute 52601 for 0421T?

November 22, 2024 

Mark and Scott answer two questions that came in through the coding course:

  1. Can you help me to clarify, if the stone in the bladder was fragmented by basket and removed, can we bill CPT 52317 or 52310.
    Thank you so much!

  2. Is it ok to bill CPT 52601 if CPT 0421T denied (for example, Experimental)
    The provider performed the procedure, what is your suggestion?
    I really appreciate your help and clarification!

 


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