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Nephrostomy tube placement

Date: Jun 30, 2011

Question:

I have two questions:

  1. Patient came for nephrostomy tube and the following day scheduled for nephrolithotomy. Nephrostomy tube was placed by IR physician accessing the renal pelvis and nephrostogram performed and there are findings for the collecting system. Then inserted a nephrostomy tube. Coded 50390-59, 74425, 50392, 74475, however, since scheduled for nephrolithotomy we can only code 50395, 74485?
  2. How do you suggest coding when nephroureteral stent was placed for PCNL. Patient came and the IR physician performed nephrostogram and nephroureteral stent was inserted. Same as nephrostomy tube?
     
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