Wiki Bilateral Nephrostomy tube change

[iamlou]

Hello,

Can someone please clarify this for me? Pt came in with a left leaking nephrostomy tube. Dr. decided to change both tubes, left and right. Would I code 2 each of 50398 and 75984, or just one of 75984? I thought 2, but I'm getting an edit saying "this item coded not to allow quantity greater than one." That got me thinking.....What do you all think?

Thanks!

 

[iamlou]

He noted that he did bilateral nephrostograms.

 

[carrieruth]

You would add a 50 modifier to 50398 and can only bill 75984 once since this is the fluroscopy guidance for the bilateral nephrostomy tube change.

 

[iamlou]

Thank you for your quick reply!

 

[Jim Pawloski]

You would add a 50 modifier to 50398 and can only bill 75984 once since this is the fluroscopy guidance for the bilateral nephrostomy tube change.

I have to disagree with your 75984. This is a change of nephrostomy tube supervision and interpretation code which can be billed twice, once for each side.

Thanks,
Jim Pawloski, CIRCC

 

[dpeoples]

I have to disagree with your 75984. This is a change of nephrostomy tube supervision and interpretation code which can be billed twice, once for each side.

Thanks,
Jim Pawloski, CIRCC

I agree with Jim. If bilateral, I bill 75984 twice.

HTH