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50437, 50080

Date: Mar 7, 2019

Question:

When an interventional radiologist performs a new access with dilation into the kidney (50437) and then a urologist or surgeon performs a percutaneous nephrostolithotomy (50080), your IR book (pages 408-410, coding instructon #10) advises to separately report these codes, but #12 advises for hospitals NOT to report 50436/50437 on same date of service as 50080/50081. Which of these are correct? CPT convention advises not to report 50437 with 50080 also. Can we report 50437-XP wtih 50080 on same date of service, given physicians have different specialties? Please clarify how we should report each part of this procedure, which was performed on the same operative episode.

Question ID : 12147
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