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Exceeding MUEs, Change of Nephrostomy Tubes

Date: Dec 31, 2014

Question:

Patient with duplicated right kidney has a bilateral nephrostogram and nephrostomy tube change in addition to a nephrostogram and nephrostomy tube change on the right duplicated kidney (two on right, one on left) because of poor drainage from the catheters. Initially we reported codes 50394-50, 50394-59RT, 50398-50, 50398-59RT, 75984-50, and 74425, but we got an MUE of 1 on 50394-59RT, 50398-59RT. What's the correct way to code this?

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