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Renal Cyst Sclerotherapy?

Date: May 24, 2021

Question:

In the 2020 ZHealth coding reference page 518 it says "16. Report code 49405 for sclerotherapy of renal, hepatic, or splenic cysts. Report code 10160 if the catheter is not indwelling. If sclerosis of a cyst is performed, add code 49185."

I attempted to report 10160+49185 for a renal cyst sclerotherapy without placement of an indwelling catheter. However, I was informed that 10160 is limited to "the skin, subcutaneous and accessory structures" and a renal cyst does not meet medical necessity to report 10160.

Can you please clarify how to correctly code for this procedure?

Question ID : 15503
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