Wiki Percutaneous nephrostolithotomy

[kandigrl79]

Okay, so...the surgeon performed a percutaneous nephrostolithotomy with flouroscopic guidance and then performed an antegrade nephrostogram. So I coded 50080, 76000-26 and 74425-26, but the 76000-26 is being kicked out against the 74425-26. Can someone explain this to me...please?

 

[conniewilson]

76000 is a CCI edit for procedure code 74425 and needs to be billed with a 59 modifier as well

 

[kandigrl79]

Thanks! I'll try it and see what happens...