Misty Dawn
Guru
Need a second opinion on my codes for this procedure please! I am not sure if I am coding this correctly. Thank you, Thank you for any feedback!
A bilateral Nephrostogram and bilateral nephrostomy tube exchange was performed. Medical necessity supports coding the diagnostic procedure separate with a 59 modifier due to stricture of ureters with hydronephrosis found on both sides.
My codes are as follows:
50398-50-RT
50398-LT
(or 50398-50 on a signal line depending on payer preference)
50394-XU-50-RT
50394-XU-LT
(or 50394-XU-50 on a signal line depending on payer preference)
75984- enter "2" for units
(Has MUE of "2" so can enter unit of 2)
74425-XS-RT
74425-LT
(has MUE of "1" so XS (59) modifier needs to be used and probably have to appeal)
A bilateral Nephrostogram and bilateral nephrostomy tube exchange was performed. Medical necessity supports coding the diagnostic procedure separate with a 59 modifier due to stricture of ureters with hydronephrosis found on both sides.
My codes are as follows:
50398-50-RT
50398-LT
(or 50398-50 on a signal line depending on payer preference)
50394-XU-50-RT
50394-XU-LT
(or 50394-XU-50 on a signal line depending on payer preference)
75984- enter "2" for units
(Has MUE of "2" so can enter unit of 2)
74425-XS-RT
74425-LT
(has MUE of "1" so XS (59) modifier needs to be used and probably have to appeal)