What is CPT code 50590?

Lithotripsy Procedures
CPT® Code 50590 in section: Lithotripsy Procedures on the Kidney.

Does CPT code 50590 need a modifier?

Extracorporeal Shock Wave Lithotripsy Providers must bill ESWL using CPT® procedure code 50590 with the appropriate modifier.

Can CPT 52332 and 50590 be billed together?

78 Modifier if additional surgery (CPT 52332) was not planned to be done at time of the original (50590). 79 Modifier is additional surgery (CPT 52332) unrelated to the original surgery (50590). Example 50590 was done on the right side then bill with 52332 for the left side: 52332 then modifier 79 and LT.

What is modifier 59?

Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circumstances.

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 it called when they break up kidney stones?

Shock Wave Lithotripsy (SWL) is the most common treatment for kidney stones in the U.S. Shock waves from outside the body are targeted at a kidney stone causing the stone to fragment. The stones are broken into tiny pieces. lt is sometimes called ESWL: Extracorporeal Shock Wave Lithotripsy®.

Can 50590 and 52005 be billed together?

Yes, on the CCI it has a “1”, you can bypass with a ’59’ modifier IF you have enough documentation to support the procedure.

What is XS modifier?

HCPCS modifier XS indicates that a service is distinct because it was performed on a separate organ/structure. It is used to note an exception to National Correct Coding Initiative (NCCI) edits.

When should I use modifier 59?

Modifier 59 should be used to distinguish a different session or patient encounter, or a different procedure or surgery, or a different anatomical site, or a separate injury. It should also be used when an intravenous (IV) protocol calls for two separate IV sites.

Does 76000 need a modifier?

Modifier 59 may be reported with code 76000 if the fluoroscopy is performed for a procedure unrelated to the cardiac catheterization procedure. However, CPT code 76000 should not be reported and modifier 59 should not be used for fluoroscopy that is used in conjunction with a cardiac catheterization procedure.

How do you dissolve a 8mm kidney stone?

Treatment: Shock Wave Therapy The most common medical procedure for treating kidney stones is known as extracorporeal shock wave lithotripsy (ESWL). This therapy uses high-energy shock waves to break a kidney stone into little pieces. The small pieces can then move through the urinary tract more easily.

Where is the ZIP code 50590 in Iowa?

ZIP code 50590 is located in northern Iowa and covers a slightly less than average land area compared to other ZIP codes in the United States.

Where is the ZIP code 52353 in Iowa?

Stats and Demographics for the 52353 ZIP Code. ZIP code 52353 is located in southeast Iowa and covers a slightly higher than average land area compared to other ZIP codes in the United States.

What does CPT code 50590 mean for ESWL?

CPT code 50590 includes no clear guidance on number of stones or number of treatments rendered. Some have interpreted the code to mean that ESWL is one charge, regardless of the number of stones or positions required. Others have interpreted the description to mean that each separately positioned ESWL should be coded separately.

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.