suela923@aol.com
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I code for a hospital. We have cases where the doctor removes a nephrostomy tube under fluoroscopic guidance. Can we bill anything for this service? I am being advised we can bill for the fluoro, 76000 or for a nephrostogram, 50431 or is there an e/m charge that as the hospital (not the doctor's office) I can use? As always, thanks!,
History: Postpartum with nephrostomy tube in place. Evaluate for obstruction and for urolithiasis.
Technique: Written informed consent was obtained. Timeout was performed. Scout x-ray was performed. Antegrade right-sided nephrostogram was performed. PCN was cut and removed. Final x-ray of the abdomen and pelvis was performed. Patient tolerated the procedure well, no complications occurred.
Findings: Abdomen x-ray shows a right PCN in satisfactory position. No evidence of urolithiasis. Antegrade nephrostogram shows excellent position within the lower pole calyx. There is no hydroureteronephrosis. There is brisk flow of contrast into the collecting system down the ureter into the bladder. No evidence of obstruction or filling defect. PCN was removed and the final KUB confirms no obstruction with increasing contrast in the bladder.
History: Postpartum with nephrostomy tube in place. Evaluate for obstruction and for urolithiasis.
Technique: Written informed consent was obtained. Timeout was performed. Scout x-ray was performed. Antegrade right-sided nephrostogram was performed. PCN was cut and removed. Final x-ray of the abdomen and pelvis was performed. Patient tolerated the procedure well, no complications occurred.
Findings: Abdomen x-ray shows a right PCN in satisfactory position. No evidence of urolithiasis. Antegrade nephrostogram shows excellent position within the lower pole calyx. There is no hydroureteronephrosis. There is brisk flow of contrast into the collecting system down the ureter into the bladder. No evidence of obstruction or filling defect. PCN was removed and the final KUB confirms no obstruction with increasing contrast in the bladder.