52356
Cystourethroscopy With Ureteroscopy, Laser Lithotripsy, and Stent Placement
Code Description
CPT code 52356 is used to report cystourethroscopy with ureteroscopy, laser fragmentation of a ureteral or renal stone, and placement of a ureteral stent during the same procedure.
This minimally invasive procedure allows the surgeon to visualize the urinary tract, fragment stones using laser energy, and place a temporary stent to promote drainage and healing.
When to Use 52356
Common examples include:
ureteral stones
kidney stones
obstructing urinary calculi
recurrent stone disease
symptomatic urinary obstruction
Documentation Requirements
Documentation should include:
stone location
ureteroscopic findings
laser lithotripsy performed
stent placement
patient tolerance
operative findings
Common Billing Mistakes
Common billing mistakes include:
reporting separate codes for bundled services
insufficient laser documentation
failure to document stent placement
incorrect stone location
incomplete operative report
Related CPT Codes
52353
Ureteroscopy With Laser Lithotripsy
52332
Ureteral Stent Placement
50590
Shock Wave Lithotripsy
FAQ
What is laser lithotripsy?
Laser lithotripsy uses laser energy to break urinary stones into smaller fragments for removal or passage.
Why is a ureteral stent placed?
A stent helps maintain urine flow while the ureter heals after stone treatment.
Does CPT 52356 include stent placement?
Yes. Stent placement is included as part of CPT 52356.
What types of stones are treated?
The procedure is commonly used for ureteral and kidney stones.
Procedure Type
Ureteroscopy
Body Area
Technique
Ureter
Laser Lithotripsy With Stent Placement
