The Pulse

Understanding the New Kidney Stone Code

27 min · 17. mar. 2026
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Description

New technology in kidney stone treatment is raising coding questions for urology teams. In this episode of The Pulse podcast, AAPC sits down with Ellen Evans from Calyxo to discuss how the company worked with CMS to establish a new facility code and what coders need to know when reporting these procedures. Listen to learn: Why a new facility procedure code (C9761) was created  When to report CPT® codes 52353 or 52356 for physician services  When Modifier 22 may apply — and how documentation supports it  How physician and facility coding differ for these procedures  Where coders may encounter prior authorization or denial challenges How Calyxo’s CVAC system is changing kidney stone treatment workflows  If your team codes urology procedures, understanding how new technologies affect coding and reimbursement can help prevent denials, support accurate documentation, and ensure procedures are reported correctly.

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Understanding the New Kidney Stone Code

New technology in kidney stone treatment is raising coding questions for urology teams. In this episode of The Pulse podcast, AAPC sits down with Ellen Evans from Calyxo to discuss how the company worked with CMS to establish a new facility code and what coders need to know when reporting these procedures. Listen to learn: Why a new facility procedure code (C9761) was created  When to report CPT® codes 52353 or 52356 for physician services  When Modifier 22 may apply — and how documentation supports it  How physician and facility coding differ for these procedures  Where coders may encounter prior authorization or denial challenges How Calyxo’s CVAC system is changing kidney stone treatment workflows  If your team codes urology procedures, understanding how new technologies affect coding and reimbursement can help prevent denials, support accurate documentation, and ensure procedures are reported correctly.

17. mar. 202627 min