CPT code 52356: Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy

Learn about CPT code 52356 for ureteroscopy with laser lithotripsy and stent placement, including billing, documentation, and coding guidelines.

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Frequently asked questions

No. CPT 52356 includes indwelling ureteral stent placement, ureteroscopy, and laser lithotripsy on the same side. Reporting 52332 separately would violate CPT coding directives and NCCI guidelines.

No. Fluoroscopy (e.g., 76000) may be billed separately if it’s not bundled and is clearly documented as necessary for the primary procedure performed.

Use modifier -50 for bilateral procedures or -LT/-RT if your payer requires it. Treating separate ureter stones qualifies as two distinct procedures, but check payer rules to ensure proper coding.