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percutaneous Nephroscopy and stent replacemet

Laurie Posted Thu 04th of April, 2019 09:22:14 AM
My doctor went in to do a percutaneous nephrostomy to look for a stone. No stone but a retained stent which he tried to remove unsuccessfully, so he placed a new stent. The doctor removed the nephrostomy tubes and repositioned the patient and did a cystoscopy stent removal that was successful. How would I code these procedures?
SuperCoder Answered Fri 05th of April, 2019 07:20:13 AM

Thank you for your Question.

 

This limited documentation is not enough to provide the exact codes for the above-mentioned procedures.

 

You are requested to provide a brief about the procedures performed. As the above provided documentation percutaneous nephrostomy stent vs Percutaneous Nephroscopy stent placement which procedure was performed that is not clear to suggest any specific CPT code.

 

If cystoscopy with stent removal was performed then CPT code 52310 Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple can be billed.

 

If new stent was placed through nephrostomy then undermentioned CPT codes can be appropriate as per the access used during the procedure.​

50693   Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract

 

50694   Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter

 

50695   Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter.

 

These codes are suggestive codes based on limited documentation. Kindly co-relate with detailed procedure or provide more detail about the procedure and also, check for NCCI edit before billing.

 

Hope this Helps!

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