What code should be reported for crushing a large bladder stone and removing the fragments?

The correct code for crushing a large bladder stone and removing the fragments is reported as 52318. This code specifically describes the procedure of lithotripsy of the bladder, which involves both the fragmentation of the stone and subsequent removal of the fragments.

In coding, it's essential to select codes that accurately reflect the specifics of the procedure performed. For this scenario, 52318 indicates that lithotripsy was used to crush the bladder stone, and it encompasses the granulation of the stone into smaller particles that can then be removed.

Other codes provided would not accurately capture the entire procedure's complexity or components. Understanding the precise actions taken during the operation helps in selecting the most appropriate CPT code, ensuring accurate billing and compliance with coding guidelines.