question archive This gentle had a failed percutaneous nephrolithotripsy

This gentle had a failed percutaneous nephrolithotripsy

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This gentle had a failed percutaneous nephrolithotripsy.

Procedure Note. The patient was given laryngeal mask anesthetic, prepped and draped in the supine position on the lithotripsy table, stone targeted ,shock had engaged .unfortunately we had to the procedure without the simulator .therefore it took longer time but the patient tolerated it well.a total of 3,000 shocks at maximum kv of 2 were administered to the stone. What CPT code and modifier( if needed should be assigned

 

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The CPT code:

Laryngeal mask anesthetic, prepped and draped in the supine position on the lithotripsy table, stone targeted ,shock had engaged (50590-RT)

The modifier:

Modifier 22

This modifier is applied to procedural services that increased that is when the effort needed to deliver a service is considerably greater than usually necessary. The practitioner is reimbursed for unexpected complications or extra time expended that is not normally required for the treatment. In this case the extended effort and time when the procedure was done without the simulator.