Coding for Urinary Stone Disease: A Comprehensive Review

Event Information
Product Format
Prerecorded Event
Michael A. Ferragamo, Jr., MD, FACS
60 minutes
Product Description

Dispelling the Confusion in Coding for Urinary Stone Disease!


The treatment of stone disease of the urinary tract is an everyday event for most urological practices. Recent changes in diagnoses with the new ICD-10 code set, new treatment clinical scenarios and changes in billing policies for both Medicare and commercial carriers make coding for these services confusing to many new and experienced coders.

This session by expert speaker Michael Ferragamo MD, FACS will provide you with the new rules and an understanding of these rules so you can properly and accurately code and avoid mistakes that may lead to audits and subsequent loss of revenue.

By attending this informative session, you will receive tools and benefits including coding tips and references to actual clinical cases and scenarios which will help enhancing your learning of the coding for these stone services so that you can in turn receive correct reimbursements.

Session Highlights:

  • A review of the new ICD-10 diagnostic codes to be used for stone disease in the urinary tract.
  • When one may bill for an office visit after a treatment for stone disease?
  • Review of the coding rules for treatment of multiple stones within the urinary tract.
  • Coding for ureteroscopic treatment of bilateral stones during one encounter.
  • How to code for percutaneous nephrostolithotomy (PCNL) to receive optimal reimbursements.
  • How to use the various modifiers when coding for the treatment of ipsilateral multiple stones.
  • Coding for treatment of small, large, or multiple bladder stones.
  • Proper coding for placement, removal, and removal and replacement of stents or ureteral catheters.
  • How to code for "second look" procedures when treating stone disease of the urinary tract.

Session Snapshot:

  • N: Genitourinary Chapter 14…Urinary Calculi
  • Renal Calculus ICD-10 N20.0
  • N &Q: Genitourinary and Congenital Chapters 14, 17, and 19
  • Historical Open Stone Procedures “Cutting for the Stone”
  • Codes for Ureteroscopic Treatments for Urinary Stone Disease
  • 2014 New CPT® Code for Stone Disease
  • 2014 and 2016 Bundling of CPT® Codes for Ureteroscopy/lithotripsy and Stent Placement
  • 2016 Non-Bundling of CPT® Codes for Ureteroscopy/Extraction and Stent Placement
  • Endourological Coding Update 2016
  • Description of Procedure 52356*
  • AUA/CMS Coding for Multiple Stones
  • 2016 Medicare Payments With the New Modifier XS in Place of -59
  • Endourology Coding Update – Medicare And Private Carriers
  • Ureteroscopy Codes for Stone Disease 52352, 52353, 52356
  • Unbundling 52341, 52344, 52345
  • Infundibular Stricture and Calyceal Calculus
  • Coding for Treatment of  Bladder/Urethral Stones
  • When to bill postoperatively for stone prevention counseling using Modifier-24
  • Billing for counseling in the global period ICD-10 diagnoses  Modifier-24, 9921x-24

Who should attend?

Coders, billers, and all persons involved in the coding and posting of payments for the treatment of urinary stone disease.

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About Our Speaker

Michael A. Ferragamo - Urology Coding Expert

Dr. Michael A. Ferragamo, Jr., MD, FACS, is the former chief of urology of Hempstead Medical Center and of Franklin Medical Center of Long Island, New York, and presently is assistant clinical professor of urology, State University of New York, Stony Brook School of Medicine. Michael is a consulting editor for Urology Coding Alert and is a coding consultant for many private practices across the United States as...   More Info
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