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Duplicated Nephrostomies

Date: May 19, 2014

Question:

One of our physicians performed the following procedures: 1) IV conscious sedation, 2) Left lower percutaneous antegrade pyelogram, 3) Left lower percutaneous nephrostomy catheter placement, 4) Left upper percutaneous antegrade pyelogram, and 5) Left upper percutaneous nephrostomy catheter placement. I've never seen two nephrostomy tubes on the same side. How would you recommend coding this? Can they both be coded?

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