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74415 and 74420

Kerry Posted Thu 06th of February, 2020 08:06:11 AM
We have a new urologist at our facility and we questioning if it would be correct to code for the 74415 along with the 74420. In his procedure note he documents that he is doing a scouting film with radiopaque and located a distal left ureteral stone. He then did a cystoscope and retrograde ureteropyelogram that confirmed a filling defect in the distal left ureter. The urologist proceeded to use a ureteroscope to manipulate and remove the calculi from the ureter and placement of a ureteral stent. Coding from a facility stand point is it appropriate to code 74415, 74420-59, 52332, and 52352? ( I removed the 52005 as it is bundled with the 52352)
SuperCoder Answered Fri 07th of February, 2020 02:12:46 AM

Hello Kerry,

Thank you for your question.


As per NCCI edit, Code 74420 is a column 2 code for 74415. The above documentation indicates that both the procedures (74415 and 74420) were performed on the same anatomical location; therefore, it will not be appropriate to report both the procedures on the same day during the same session. You should only report CPT® code 74415; based upon your detailed medical documentation.


Hope that helps!


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