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50433/50434 when performed in conjunction with PCNL

Date: May 16, 2023

Question:

On 1/1/23, CPT guidelines state, "Do not report 50081/50080 in conjunction with 50433/5434 (when performed on same side)." If the nephrostomy is performed by IVR prior to and on same date of service as PCNL 50081/50080 (performed by urologist in OR), would an unlisted procedure be appropriate to report? (Trying to capture the resources and complexity performed in the Interventional Radiology deparment.) This is for facility coding.

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