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 lithotripsy with a water bath is 00872, and the modifier P3 is used for a patient with severe systemic disease (which can be applicable for a patient with Down syndrome undergoing anesthesia). The ICD-10-CM code for ureteral stones is N20.1, and the code for Down syndrome is Q90.9.

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