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CPT 55866

CPT Code 55866 Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistant when performed is a code used for surgical treatment for prostate cancer. The procedure is performed to remove the prostate using laparoscopic or robotic devices 55866 - CPT® Code in category: Laparoscopic Procedures on the Prostate. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products Effective January 1, 2011, CPT® code 55866 will read as Laparascopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed. You must log in or register to reply here 55866 : Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or no

What Procedures Might Be Included with a Laparoscopic

  1. Use one of the appropriate CPT® codes from the following list of cystectomy procedures as the primary procedure: If the prostatectomy is done laparoscopic, you would use CPT® code 55866 Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed
  2. For the laparoscopic prostatectomy there is only one CPT® code 55866 Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed, now for the laparoscopic cystectomy there is no CPT code so we would have to use an unlisted code, 51999 Unlisted laparoscopy procedure, bladder
  3. ology (CPT ®) code 55865 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Prostate. Subscribe to Codify and get the code details in a flash

use CPT code 76857. • In the documentation of this study in the medical records the urologist should mention the bladder wall • 55866- Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performe The bladder neck reconstruction is included in CPT code 55866 and should not be billed. I was under the impression that CPT code 52214 was cystoscopy with fulguration ONLY no biopsy taken? I am not reading an excision &/or biopsy is included? 52214 includes endoscopic fulguration as well as excision of the urteral orifice and bladder cuff CPT Code and Modifers Description 90 day Global Period 50010 Exploration of kidney 90 50020 Renal abscess open drain 90 55866 Laparo radical prostatectomy 90 55873 Cryoablate prostate 90 55875 Transperi needle place pros 90 57240 Repair bladder & vagina 9 CPT code 55866 for prostatectomy was removed from the inpatient-only list effective January 1, 2018. If performed as outpatient, Medicare national average payment for CPT code 55866 is $8,908 under APC 5362 55866 Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed CPT 55980. CPT Codes Description 55980 Intersex surgery, female to male This procedure may include one or more of the following procedures. These require prio

In order to simplify the use of NCCI edit files, CMS will consolidate the two edit files into the Column One/Column Two Correct Coding edit file. Separate consolidations will occur for the two practitioner NCCI edit files and the two NCCI edit files used for OCE. This change will occur for practitioner NCCI edits in NCCI version 18.1 scheduled for April 1, 2012 CMS has confirmed that CPT code 55866 (Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed) will be removed from the Inpatient Only List for CY 2018; however, CMS has decided that this procedure cannot be appropriately and safely performed in an ambulatory surgical center According to the National Correct Coding Initiative (NCCI), Medicare's bundling edits, the two codes (55866 - Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed) and 51990 (Laparoscopy, surgical; urethral suspension for stress incontinence) are not bundled and can be charged together without a modifier 55866 Laparo radical prostatectomy 57280 Suspension of vagina 57308 Fistula repair transperine 58140 Myomectomy abdom method Current Procedural Terminology (CPT®), 2020 2. International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CMS intends to maintain the interim final work RVU of 21.36 for Laparoscopic Radical Prostatectomy (CPT code 55866). In the 2016 Medicare Physician Fee Schedule final rule, CMS reduced the work RVU for CPT 55866 from 32.06 to 21.36, representing a 33 percent cut to be phased in over a two year period

CPT/Modifier; Laparoscopy, surgical prostatectomy: 55866 82 . Resource. CMS Internet Only Manual (IOM) Medicare Claims Processing Manual, Publication 100-04, Chapter 12, Section 20.4.3 . Last Updated Wed, 12 Feb 2020 16:03:09 +0000. Contact; 855-609-9960 IVR Guide Fax Us. 55866 Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed CPT® Code Short Descriptor MD In-Office Medicare Allowed Amount MD In-Facility Medicare Allowed Amount Total Office-Based RVUs Total Facility-Based RVUs BPH Laser Surgery Procedure CPT code 55866 for prostatectomy was removed from the inpatient-only list effective January 1, 2018. If performed as outpatient, Medicare national average payment for CPT code 55866 is $7,595 under APC 5362. 2018 CODING GUIDE . NERVE MONITORING FOR ROBOTIC PROSTATE SURGERY Reference: CPT Assistant, May 2001, Page: 5 Hospital vs. ASC centers • Unit 1 vs. 2 15 General Use of Modifiers CPT/ HCPCS SI Description 2007 final rule Device A Device A Description Modifier FB or FC in 2008 50387 T Ureteral stent exchange/remove 0122 C1875 Stent, coated/cov w/o del s CPT 55873 Cryosurgical ablation of the prostate (includes ultrasonic guidance for interstitial cryosurgical probe placement) Section 4173.4, Payment and Coding Requirements, describes these requirements for CPT 55873. Section 4174.4, Processing Claims to Ensure That Payment Conditions Are Met, describes the edit

55866 Laparo radical prostatectomy. 0 price reports. Check out our prices, then share what you paid. How did we do this? Refine results Want to find results near to your location? Enter your zip code and click Refine button.. Update 5/13/2021: CMS is temporarily removing CPT codes 63685 and 63688 from the list of OPD services that require prior authorization. The only service that will require prior authorization for implanted spinal neurostimulators is CPT code 63650. Providers who plan to perform both the trial and permanent implantation procedures using CPT code 63650 in the OPD will only require prior. Resident CPT Code Procedure Role Index Credit? 1 55866 Laparoscopic/Robotic Radical Prostatectomy Assistant Yes The resident did not complete any steps on the console, so she should log the role of Assistant for the case. She must check the Robotic checkbox to receive index case credit towards the minimum requirement for robotic

For example, CPT 55866 for laparoscopic prostatectomy, CPT 58543 and CPT 58541 for laparoscopic hysterectomy (> 250 g or < 250 g, respectively), CPT 38771 and CPT 38772 for laparoscopic pelvic lymph node dissection (without or with periaortic sampling, respectively), and CPT 50820 for ileal conduit should be billed when performed due to the. frequency limit to CPT code 95165, allowing up to 150 units annually in the build-up phase and 90 units in the maintenance phase. We will now apply the same frequency limits for CPT codes 95120 and 95125. Also, we will allow 75 units annually in the build-up phase and 45 units in the maintenance phase for CPT code 95144

Assistant Surgery Guide* The Assistant Surgeon Guide lists surgical procedures that are normally appropriate for assistant surgeons. This information is a guide only; there may be circumstances where an assistant surgeon is necessary due to complications or unusual circumstances Access restricted. Please log in.log in Besides, what is the CPT code for robotic surgery? The physician bills for the services 55866 (laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing), with the add-on code S2900 (indicating robotic assistance). Payment will be made only for the base procedure 55866 Since the laparoscopic/robotic CPT code 55866 does not include a pelvic lymphadenectomy, the coding for a robotic retropubic radical prostatectomy with a bilateral pelvic node resection should include CPT codes 55866 and 38571, with bilateral total pelvic lymphadenectomy

CPT code with a revenue code unless otherwise specified in the provider contract. Revenue codes and procedure code combinations that are submitted on outpatient claims should reflect the services that were provided to the patient on that date of service. These codes should be submitted on the same line for accurat Prostate Rectal Spacers Placement (CPT code 55874) Medicare does not have National Coverage Determination (NCD) for prostate rectal spacers. Local Coverage Determinations (LCDs)/Local Coverage Articles (LCAs) exist and compliance with these policies is require UROLOGY PROCEDURE BUNDLES / CPT LEVEL I - CORE PRIVILEGES CPT EVALUATION & CLINICAL CARE Admit, consult, H&P, orders Fluoroscopy Circumcision 54161 Cystoscopy 52000 Transrectal Ultrasound w/out Prostate Biopsy 55700 Transrectal Ultrasound with Prostate Biopsy 5570 The caveat: If the procedure is interrupted for some technical reason and you are unable to complete the procedure, then charge with the -52 modifier. Otherwise, charge without the modifier. The exception: If peri-aortic lymph nodes sampling is added to the total pelvic lymphadenectomy, then charge 38572 (Laparoscopy, surgical; with bilateral.

CPT® Code 55866 in section: Laparoscopic Procedures on the

Resident CPT Code Procedure Role Index Credit? 1 55866 Laparoscopic/Robotic Radical Prostatectomy Assistant Yes 2 55866 Laparoscopic/Robotic Radical Prostatectomy Surgeon Yes Note: Resident 1 did not complete any steps on the console, so he can only log the role of Assistant for the case. Resident 2 operated on the console for service and total time for the procedure, CPT code 22633 should be valued based on a direct work RVU crosswalk to CPT code 55866 which falls below the survey 25th percentile and preserves rank order within the family. The RUC recommends a work RVU of 26.80 for CPT code 22633 CPT« 55866 PR LAP,PROSTATECTOMY,RADICAL,W/NERVE SPARE,INCL ROBOTIC $ 8,010.80 $ 32,871.81 $ 35,809.11 CPT« 57250 POST COLPORRHAPHY,RECTUM/VAGINA $ 2,224.18 $ 12,132.76 $ 12,046.02 CPT« 72040 X-RAY CERV SPINE 2 VW $ 24.81 $ 311.00 $ 173.10. Shoppable Services Code Procedure Description Min Amount Max Amount Self_Pay_Amount. Valuable guidance on this topic can be found in the NCCI Policy Manual, Chapter 6, section E.4, which states: If a hernia repair is performed at the site of an incision for an open or laparoscopic abdominal procedure, the hernia repair (e.g., CPT codes 49560-49566, 49652-49657) is not separately reportable

Active LCDs. All LCDS are the same for each state within a Jurisdiction and are accessible from the table below. View the ICD-9 to ICD-10 LCD number crosswalk. Once you access the LCD, the Coding Guidelines can be found under the heading, LCD Attachments near the end of the document. Note: All CPT / HCPCS codes listed are mentioned in the. Additional Information CPT Prior authorization required 33477 36514 55866 64722 66180 . Femoroacetabular impingement syndrome (FAI) Prior authorization required 29914 29915 29916 . Functional endoscopic sinus surgery (FESS) Prior authorization required 31240 31253 31254 3125 The following CPT® codes are used to report transcatheter peripheral vascular interventions for occlusive disease in the : lower extremities. The codes are structured as a progressive hierarchy in which the more intensive services are inclusive of the lesser services. The bundled codes are broken down into three territories: iliac, femoral. 55866 Urethroplasty 53400-53431 Laparoscopic Pyeloplasty 50544 Orchiectomy 54520-54535 Hydrocelectomy 55040,55060 Varicocelectomy 55530-55540 Procedure(s) Please consult the current edition of the AMA's CPT book for more detailed information on these and all other CPT codes. 54150,54160,54161 Updated June 16, 2009 2 60540.00 60650.00 50370. New Name Old Name CPT Code Service CYSTOPROSTATECTOMY, ROBOT-ASSISTED, USING XI, WITH ILEAL CONDUIT CREATION CYSTOPROSTATECTOMY W ILEO CONDUIT XI ROBOT ASSISTED *51590 Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; Urology Robotics 55866 Laparoscopy, surgical prostatectomy, retropubic radical

Can 51800 be billed with 55866?? Medical Billing and

Each year, clinicians, specialty societies, and other stakeholders contact CMS to request that procedures identified by American Medical Association Current Procedural Terminology (CPT) † codes be reviewed and considered for addition to or removal from the inpatient-only list. Since the inception of the OPPS, some hospital stays have extended. CPT code 55866, Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed Also, coding professionals should take note that CMS added CPT code 92941, Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery. For more on coding for Laparoscopic and Robotic procedures, take part in the year's biggest virtual boot camp on coding updates - Virtual Boot Camp.This session will be presented by renowned coding expert Dr. Michael A. Ferragamo Jr.This conference will review these new codes and guidelines as well as provide specific tools, coding tips, and the knowledge to properly bill and code to. CPT/Modifier. Laparoscopy, surgical prostatectomy 55866 82. Medicare Part B modifiers - 81 Minimum Assistant Surgeon: Minimum surgical assistant services are identified by adding modifier 81 to the usual procedure number. Modifier 81 Minimum assistant surgeon. Instructions In other words, the CPT code 55866 is defined as radical retropubic prostatectomy, performed via laparoscopic or robotic approach, with or without nerve-sparing techniques. For purposes of analysis, ethnicity was coded as Hispanic or non-Hispanic while race was independently coded as white, African American, Asian, or unknown/other

CPT 49320, Under Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum. The Current Procedural Terminology (CPT) code 49320 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum Preauthorization Category/CPT CODE BONE GROWTH 20974 20975 20979 BREAST RECONSTRUCTION (NON-MASTECTOMY) Preauthorization is required for all diagnosis codes except for the following : C50.019, C50.011, C50.012, C50.111, C50.112, C50.119, C50.211

Single sign-on with One Healthcare ID . As of July 1, 2021, you have the option to sign in to EncoderPro.com for Payers using either your existing credentials or your One Healthcare ID Global Surgery Calculator. Method 2: You can look up your 2021 procedure code global days requirement by using this tool. Enter your procedure code. Alternatively, you can go straight to our Medicare Physicians Fee Schedule Tool and lookup your code there. Warning! Please enter a Procedure Code! Warning CPT 76376: $334: CT scan: CPT 70450: $1,678: CT scan of abdomen and pelvis with contrast: CPT 74177: $3,338: CT scan of pelvis with contrast: CPT 72193: $2,171: Ct abd & pelv 1/> regns: CPT 55866--Ultrasound examination of lower large bowel using an endos... (Not Offered) CPT 45391--Therapy: Physical therapy, therapeutic exercise: CPT 97110. CPT 70450. $1,903. CT scan of abdomen and pelvis with contrast. CPT 74177. $3,083. CT scan of pelvis with contrast. CPT 72193. $2,914. Ct abd & pelvis w/o contrast CPT code Range Anesthesia 00100 01999 Section Total 259 Code Description (CPT) Base Units Place of Service PVR Type 00100 Anesthesia for procedures on salivary glands, including biopsy 5 21, 24 31, 32 00102 Anesthesia for procedures on plastic repair of cleft lip 6 21, 24 31, 3

1National Imaging Associates, Inc. is a subsidiary of Magellan Healthcare, Inc. 1— Dean Health Plan Utilization Review Matrix 2021 Dean Health Plan Utilization Review Matrix 2021 The matrix below contains all of the CPT 4 codes for which Magellan Healthcare1 manages on behalf of Dean Health Plan 53431 - CPT® Code in category: Repair Procedures on the Urethra. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products: Find-A-Code Essentials CPT Codes and Fees, Effective January 1, 2015: Surgery, Part 1 (10000-29999) Surgery, Part 2 (30000-49999) Surgery, Part 3 (50000-69999) Assistant Surgery Guide: Radiology: Pathology and Laboratory: Evaluation & Management, Medicine, Physical Therapy: Commission Assigned Codes: N.C. Industrial Commission Assigned Code itant urgery ot edically eceary Code Current Procedural Terminology © 2020 American Medical Association. All Rights Reserved C C T itant urgery at dated Contain. Request Cost Estimates. Patients can request a cost estimate for health care services at Massachusetts General Hospital, a member of Mass General Brigham. Contact Patient Billing Solutions at 617-726-3884. You also can generate a self-service estimate for select upcoming or potential services in real-time by using Patient Gateway and navigating.

Prostate Procedures - American Urological Associatio

Single sign-on with One Healthcare ID . As of July 1, 2021, you have the option to sign in to EncoderPro.com using either your existing credentials or your One Healthcare ID Anthem Central Region bundles CPT 49585 as incidental to CPT 43880. The performance of an abdominal procedure includes the reimbursement for hernia repair. The CMS National Correct Coding Manual states: If a hernia repair is performed at the site of an incision for an open or laparoscopic abdominal procedure, the hernia repair (e.g., CPT. Coming July 1, 2021: Single sign-on with One Healthcare ID . Optum360 Coding is implementing One Healthcare ID sign-in capabilities for EncoderPro.com starting on July 1, 2021

Urological Surgery Procedures - American Urological

Robot-assisted laparoscopic prostatectomy (RALP) is surgery to remove your prostate gland through small incisions in your abdomen. RALP is done with a machine that is controlled by your surgeon. The machine has mechanical arms that use small tools to remove your prostate CPT code 55866 for prostatectomy was removed from the inpatient-only list effective January 1, 2018. If performed as outpatient, Medicare national average payment for CPT code 55866 is $8,908 under APC 5362. Physicians use CPT codes for all services. Under Medicare's Resource-Based Relative Value Scale (RBRVS [CPT ®] code book published by the American 55866 Laparascopy, radical 56625 Removal of vulva : once 6 Part 2 - Once-in-a-Lifetime Procedure Codes . Page updated: August 2020. 55866. Prostatectomy. A simple or radical prostatectomy may be considered medically necessary for individuals with a diagnosis of localized prostate cancer. A simple or radical prostatectomy not meeting the criteria as indicated in this policy is considered not medically necessary. Procedure Codes. 55801. 55810. 55812. 55815 Resident CPT Code Procedure Role Index Credit? 1 55866 Laparoscopic/Robotic Radical Prostatectomy Assistant Yes 2 55866 Laparoscopic/Robotic Radical Prostatectomy Surgeon Yes Note: Although both residents operated on the console for a portion of the case, only one resident may log the case as Surgeon

CPT® Code 55865 - Excision Procedures on the Prostate

The index categories, minimum numbers, and common CPT codes are listed below. Achievement of the minimum number of listed procedures does not signify achievement of competence of an individual resident in a particular procedure. A resident may need to perform 55866 (lap/robot RP); 55840/55842/55845 (RRP with no/limited/extended PLND) Bladder UROLOGY PROCEDURE BUNDLES / CPT LEVEL I - CORE PRIVILEGES CPT EVALUATION & CLINICAL CARE Admit, consult, H&P, orders Fluoroscopy Circumcision 54161 Cystoscopy 52000 Transrectal Ultrasound w/out Prostate Biopsy 55700 Transrectal Ultrasound with Prostate Biopsy 5570

2021 Reimbursement Coding - ProPep Surgica

The Current Procedural Terminology (CPT) code 52000 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy-Cystoscopy, Urethroscopy, Cystourethroscopy Procedures on the Bladder. 55866 What anatomical structures can be viewed by bladder endoscopy flexible sigmoidoscopy or colonoscopy. Below are the Current Procedural Terminology (CPT®), Current Procedural Technology Category II (CPT II), Healthcare Common Procedure Coding System (HCPCS), and ICD-9-CM Procedure codes that indicate these services have bee n performed. Fecal Occult Blood Test (FOBT) Code Code Type Definition 8227 procedures/CPT codes will be performed in an outpatient hospital setting. CPT Code Description 11771 Excision of pilonidal cyst or sinus; extensive 15731 Forehead flap with preservation of vascular pedicle (e.g., axial pattern flap, paramedian forehead flap a single CPT code, but may be represented by Code Families, which are a group of CPT codes that describe the same or similar type of service. Under this policy, Oxford provides reimbursement for only one procedure from a designated Code Family during a patient's lifetime

Medical Necessity Guidelines: Transgender Surgical Procedure

For those performing a robotic prostatectomy do you use the laproscopic prostatectomy CPT code 55866? Also, do you bill for a co-surgeon or an assistant surgeon for the console side surgeon and the patient side surgeon? It seems our MAC does not want to pay for a co-surgeon; however, we can not get a direct answer from them CPT® is Current Procedural Terminology, and was developed by the American Medical Association in 1966. January 1, 2007 effective update for CPT. The most recent version of CPT, contains 8,611 codes and descriptors. 3 Rationale for CPT Surgery Guidance CPT codes define medical and surgical procedures performed on patients What is the CPT code for robotic surgery? The physician bills for the services 55866 (laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing), with the add-on code S2900 (indicating robotic assistance). Payment will be made only for the base procedure 55866

PTP Coding Edits CM

INDIANA HEALTH COVERAGE PROGRAMS PROVIDER CODE TABLES Published: March 23, 2021 1 Revenue Codes Note: Due to possible changes in Indiana Health Coverage Programs (IHCP) policy or national coding updates, inclusion of a code on the code tables does no CPT 55866: CPT Code: CPT 55873: CPT Code: HCPCS G0160: Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes

CMS Publishes New Payment Rates for Urological Services

Includes only the following procedures: 19325, 54125, 54520, 54690, 55866, 56800, 56805, 57291, 57292, 57295, 57296, 57335, 57426 A. Orchiectomy when BOTH of the following additional criteria are met: 1. Documentation of at least 12 months of continuous hormonal* sex reassignment therapy 2 Page 2 of 10 Medica Prior Authorization and Notification Requirements Service Category CommercialPolicy Name Current Procedural Terminology (CPT) Codes Advantage products----- (MMP CPT Codes are property of the AMA and are made available to the public only for non-commercial usage. Coronary Artery Bypass Graft (CABG) and other Revascularization Procedures Inpatient Only Procedure Not an Inpatient Only Procedure 33140 Transmyocardial laser revascularization, b sections of the Pathology and Laboratory section of CPT. For microbial identification using molecular pathology techniques CPT codes 87149-87153, 87470-87801, and 87900-87904 apply. For in situ hybridization analyses, CPT codes 88271-88275 and 88365-88368 apply.) Code selection is typically based on the specific gene(s) that is being analyzed

Can you bill a urethral suspension with radical prostatectomy

CPT code for the procedure in this situation.-74 Terminated/Discontinued Ambulatory Surgery Center Procedure After the Administration of Anesthesia This modifier is appended to the CPT code for the intended procedure(s) to indicate that a procedure was terminated due to medical complications after anesthesia for the procedure was induced National Correct Coding Initiative (NCCI) The purpose of the NCCI Procedure-to-Procedure (PTP) edits is to prevent improper payment when incorrect code combinations are reported. The NCCI contains one table of edits for physicians/practitioners and one table of edits for outpatient hospital services. The Column One/Column Two Correct Coding. This guidance updates our April 5, 2017 article on reporting laparoscopic procedures for simple prostatectomy. That guidance is no longer appropriate. Based on the information available at the time, the Coding and Reimbursement Committee recommended that CPT codes 55821 Prostatectomy, perineal, subtotal (including control of postoperative. the CPT code 55866. In all other surgeries, the use of robotics is at the discretion of the surgeon to determine the most appropriate technique. The use of robotic devices to assist with surgery is considered an integral part of the primary surgery and the S2900 code (Surgical techniques requiring use of robotic surgical syste S2900 is a valid 2021 HCPCS code for Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) or just Robotic surgical system for short, used in Other medical items or services

Assistant Surgeon Eligible List. The services described in Oxford policies are subject to the terms, conditions and limitations of the Member's contract or certificate. Unless otherwise stated, Oxford policies do not apply to Medicare Advantage enrollees. Oxford reserves the right, in its sole discretion, to modify policies as necessary without. CPT®) Endourology Coding Update after October 1, 2008 • Findings: left and right ureteral stones Procedure: Ureteroscopic laser lithotripsy of a left ureteral stone and ureteroscopic extraction of a right ureteral stone, and bilateral JJ stents CPT® ICD-9 52353-LT 592.1 52352-59-RT 592.1 52332-50 591, V07. Once in a Lifetime Procedures are not limited to a single Current Procedural Terminology (CPT) code, but may be represented by Code Families, which are a group of CPT codes that describe the same or similar type of service