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#1
08-28-2009, 10:35 AM
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Retrograde pyelogram of duplex ureter
What would be the correct way to code for a Left ureteroscopy, double left retrograde pyelograms (due to the duplex left ureters)? I am considering 52005, 50394, 74420-26, and 74420-26,76.
Thanks for any ideas, Alisa
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Alisa, CPC 
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#2
08-31-2009, 06:49 AM
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I would probably use 52351 and 74420-26 based upon the information provided.
Did your doctor preform a cystourethroscopy or a cystourethroscopy with ureteroscopy? This would make a difference between the code selection of 52005 and 52351. If the cystourethroscopy with ureteroscopy was performed, 52005 should bundle with it. Also, I would only report 74420-26 once. Modifier -76 makes me think of a complication and the procedure was repeated, probably later in the day. I would make sure to put dx code 753.4 (I don't not have my ICD with me, so I am not sure this is the accurate code) for duplicate ureter.
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