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Nephroureteral stent removed through nephrotomy

Date: Jan 20, 2012

Question:

Hello from KC,MO--Have a situation that has both IR & HIM stumped. Briefly patient had cystectomy secondary to bladder CA. Approximately one month post-op the stent placed at that time migrated causing spasm VS ureteral stricture. IR was requested to place a left flank nephrostomy. Patient seen several times for check & exchange of nephroeueteral stent. Patien now returns for nephrotomy check & possible removal of nephroureteral stent. The neproureteral stent is removed & the nephrotomy capped. Our questions are: is the nephrostogram billable separately & is 50389 correct for the nephroureteral removal? Appreciate you help.
Question ID : 3393
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