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"Converting" a PCN to a UDC

Date: May 17, 2023

Question:

Patient had a PCN in place, which was removed over a guidewire. Then a catheter was advance over the wire, down into the ureter, and out the urostomy. A UDC cath was then placed retrograde over the wire with a pigtail loop formed in the collecting system, and the wire was removed. I want to code 50688/75984 here, but I am wondering if we can also code 50389 for the removal of the PCN?

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