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Urology Coding Alert

Reader Question:

Capture Mitrofanoff Revision Using 52

Published on Wed Mar 19, 2014

Question: How would you code a cystogram, left allograft nephrectomy, ileal augmentation of bladder, and a Mitrofanoff revision?

Alabama Subscriber

Answer: You should bill the following codes for this procedure:

50370 (Removal of transplanted renal allograft) for the allograft nephrectomy
51960 (Enterocystoplasty, including intestinal anastomosis) for the ileal augmentation
50845 (Cutaneous appendico-vesicostomy) for the revision of the Mitrofanoff, with modifier 52 (Reduced services) attached to indicate that the urologist did only a revision procedure and not the full Mitrofanoff procedure
51600 (Injection procedure for cystography or voiding urethrocystography) for the injection of the contrast for the cystogram
74430 (Cystography, minimum of 3 views, radiological supervision and interpretation) with modifier 26 (Professional component) attached if the urologist personally reads the cystogram within the hospital setting.

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