Please note this question was answered in 2010. The coding advice may or may not be outdated.
Date: Jun 18, 2010
Question:
Dr. Z., Please advise on what real-time fluorscopic guidance means. I do know that the term "real-time" is often associated with an ultrasound. We have a provider who performed a left percutaneous nephrostomy and dictates in his report that real-time fluorscopic guidance was used. The codes assigned were 50392, 74475, 50394, 74425, 77002, and 76942-59. I believe that the ultrasound (76942) and fluoroscopy (77002) should not be coded. Thanks in advance.
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