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laproscopic nephrectomy with bladder cuff incision

Yolanda Posted Tue 01st of December, 2009 05:44:34 AM

Should I code"50236" and "50548" with modifier 59? or should I just code "50236" only. Nephrectomy was done laproscopy. A Gibson incision was made and dissected the ureter toward the bladder cuff and divided the ureter with bladder cuff. Diagnosis is "189.1" "Malignant Neoplasm of renal pelvis".

SuperCoder Answered Tue 01st of December, 2009 07:00:23 AM

Do you mean to say that laparoscopic nephrectomy was converted to an open procedure, for Medicare and most other carriers an open procedure code is considered. You can report 50234 if the urologist performed the procedure via one incision. If the physician used two incisions, you should report 50236. If not then please provide the complete Op report.

Yolanda Posted Tue 01st of December, 2009 23:29:27 PM

Yes, It was converted to open with a second incision. Thank You

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