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Urology/Nephroscopy

Cherie Posted Thu 12th of March, 2015 09:38:34 AM

I have a question concerning cpt 50081. My doctor coded it as such.
Briefly: The Dr. used a cystoscope to go down through a nephrostomy tube opening. He examined the kidney in total, then removed the stent through the opening. He placed a ureteroscope down to the level of the stone and lasered it. The fragments went into the bladder. He replaced the nephrostomy tube. This concluded the procedure. I'm thinking 52353 and 50398. Please let me know your thoughts.

SuperCoder Answered Fri 13th of March, 2015 03:55:50 AM

50081 is the inappropriate code for the given scenario.
I am also leaning towards the 52353 and 50398.
As there is no CCI edits between the codes so it can be billed together.

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