Sam, a 26-year-old male with Down syndrome, undergoes lithotripsy with a water bath for lodged ureteral stones. The procedure was supervised by the anesthesiologist under general anesthesia due to the patient's Down syndrome and associated anxiety. Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The correct CPT code for anesthesia for lithotripsy with a water bath is 00872. The modifier P3 indicates a patient with severe systemic disease. The modifier 23 is used for unusual anesthesia, which is appropriate due to the patient's Down syndrome and associated anxiety. The ICD-10-CM codes N20.1 and Q90.9 represent ureteral stones and Down syndrome, respectively.

Sam, a 26-Year-Old Male with Down Syndrome, Undergoes Lithotripsy with a Water