Please note this question was answered in 2010. The coding advice may or may not be outdated.
50395
Date: Nov 9, 2010
Question:
Dr Z, In special procedures we are asked to obtain percutaneoous access to the kidney for an OR case. A wire is usually left down to the bladder, sometimes a catheter, or sometimes even a sheath. These are secured and the patient is sent to the OR. What codes do I use for this procedure? I have been charging a nephrostomy placement 74475/50392. I have a problem when there is no C-Code supply item. Should it really be a stent placement 74480/50393, since we have accessed the kidney down to the bladder? I have the same issue because of the supply c-code. Thank you for your time. RM
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