No Stones found

carol52

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Dr. Placed a double j stent on the left side of ureter after the patient had been scheduled for a left ureteroscopy/laser lithotripsy /stent
No stones were found so can only bill the Stent placement rt ?
Thanks,
Carol
 

thomas7331

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Yes, you can only bill for what was performed, the ureteroscopy (assuming that was done) with stent placement.
 

liqgold2@aol.com

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For the diagnosis in this case add for the reason for the ureteroscopy (not billed) such as ureteral stone, N20.1, and then a second diagnostic code Z71.1 for stone suspected but not found.
Michael A. Ferragamo MD, FACS, urologist and urology coding and reimbursement consultant.
 

thomas7331

True Blue
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For the diagnosis in this case add for the reason for the ureteroscopy (not billed) such as ureteral stone, N20.1, and then a second diagnostic code Z71.1 for stone suspected but not found.
Michael A. Ferragamo MD, FACS, urologist and urology coding and reimbursement consultant.
I don't believe Z71.1 would be an appropriate code to report for the encounter described above - that code is for is for an encounter in which a healthy and asymptomatic patient who has a 'feared health complaint' was evaluated but for which no diagnosis was ultimately made during the encounter. A patient wouldn't normally undergo a cystoscopy or ureteroscopy with a stent placement without a reportable diagnosis or symptom to make such a procedure necessary.
 
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