Ask Dr. Z

"Patient had surgery two weeks prior with left ureteral stent and right nephrostomy with known hydronephrosis with obstruction. Here now for right ureteral stent. Under fluoroscopy, needle was passed into right kidney. Injection of contrast showed hydronephrosis and hydroureter to approximately 4 cm from UVJ where there is total occlusion, markedly redundant ureter. A 4 French catheter was placed, followed by an 8 French sheath. A 4 French angled catheter was used to gain access into bladder. A stiff guidewire was placed. Then, an 8 French by 26 cm ureteral stent was deployed with distal pigtail in bladder, proximal pigtail in right renal pelvis, and was noted to function." Codes 50393-RT and 74480 were assigned. Would you consider it appropriate to also report codes 50390-59RT and 74425?