Wiki 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
 
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.
 
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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