PRACTICE RESOURCES > Coding and Reimbursement > Coding Tips > Questions and Answers > Pediatric Urological Surgical Procedures

Pediatric Urological Surgical Procedures

Q.What is the proper code to bill for a subureteric transureteral injection (STING) procedure for reflux?

A.Use CPT® code 52327 cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material with one of the following HCPCS code:

L8603

Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies (Added 07-30-2010)

 

Bill on paper, acquisition cost invoice required

L8604

Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1ml, includes shipping and necessary supplies (Added 07-30-2010)

 

Carrier discretion

L8606

Injectable bulking agent, synthetic implant, urinary tract, 1ml syringe, includes shipping and necessary supplies (Added 07-30-2010)

 

Bill on paper, acquisition cost invoice required

Q.What is the proper way to code for a Ileovesicostomy?

A.Use the codes 50845 cutaneous appendicovesicostomy and 44120 Enterectomy, resection of small intestine; single resection and anastomosis. Append a modifier -22 and -52 to the 50845. The reasoning for modifier -22 is, since the physician used the small intestine to make the channel and the -52 is because the physician did not use the appendix.

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