Urology Coding Alert

You Be the Coder:

Nephrostomy Tube Removal

Question: Is there a code for removal of nephrostomy tubes by a surgeon other than the one who placed them? I only found code 50398 for changing the tubes.


New Mexico Subscriber


Answer: Include the procedure in the charge for the E/M visit, such as 9921x. There is no CPT Code for removing a nephrostomy tube, just as there is no CPT code for the simple removal of a Foley catheter. Use CPT Code 50398 (Change of nephrostomy or pyelostomy tube) only if you change or exchange a nephrostomy tube.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.