Lap adrenalectomy partial included with lap nephrectomy with partial ureterectomy

valerieeanderson

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Can someone confirm if 60650 (lap adrenalectomy partial) is included with 50546 (nephrectomy w/partial ureterectomy)? There is no bundle and I have been unable to locate anything on CPT Assist that would say either way. I would think they are, but since this was not a radical nephrectomy (no Gerota's Fascia was removed) I am unsure. We have received a denial from Medicaid for this reason. Can one of you experts offer any clarity and resource on this?
 

liqgold2@aol.com

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The partial or total adrenalectomy has always been included with any type of nephrectomy and not separately billable.
This was pointed out many years ago by PRS and the Painters.
 
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