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75984 with kidneys

Date: Dec 3, 2010

Question:

Hello Dr. Zielske. I need your help again. We have an ongoing discussion regarding code 75984. In your IR book and website I found “if the use of contrast is not documented, do not code 75984”. Our doctors would first inject contrast for a nephrostogram (50394, 74425), then exchange existing tube (50398) without documentation of another contrast injection, saying that replacement was successful or an image was obtained to document position. I was told, since contrast remains in the patient’s system, it is ok to use 75984. Is this statement correct? Thank you. Always appreciate your help.

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