How to select a code for stone removal procedures | 合法醫療器材資訊網
![How to select a code for stone removal procedures](https://i.imgur.com/6y29Lx7.jpg)
2014年1月14日—52317Litholapaxy:crushingorfragmentationofcalculusbyanymeansinbladderandremovaloffragments;simpleorsmall(<2.5cm).52318 ...
![How to select a code for stone removal procedures](https://i.imgur.com/6y29Lx7.jpg)
One of our urologists billed out a 52318 for a litholapaxy. The operative report reads: “It is estimated there are approximately seven to eight stones total. Most stones measure approximately 1.5 to 2 cm in size in maximum dimension. The remainder of the bladder appears normal.” When questioning the physician about billing 52317, rather than 52318, he replied: “As far as I know, it is always based on overall or total stone burden. Treating several 2-cm stones to equal a total stone burden of 6 cm is different and requires more work, more OR time, etc. than treating a single stone of 2 cm. I have never seen any reference stating measurement is based on the single largest stone. Also refer to percutaneous nephrolithotomy codes 50080 and 50081. Same thing. If you treat multiple 2-cm stones in the kidney, that would be billed as 50081...
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![](https://i.imgur.com/6y29Lx7.jpg)
【膀胱碎石裝置】許可證字號:衛署醫器輸字第001300號
器材品名:膀胱碎石裝置許可證字號:衛署醫器輸字第001300號註銷狀態:已註銷註銷日期:1986/10/27註銷理由:列屬無須查驗登記項...