Wiki Physician Billing for IVR

[Cuteyr]

Hi all,

I am working for a physician who is doing IVR procedures in a hospital.
Please clarify the following scenario
If he is perfoming insertion of nephrostomy catheter using US guidance,how shdould i code that

is it
50392,76942-26
or
50392-26 and 76942-26.

I got confused suddenly..
Please clarify

Thanks

 

[JDACPC]

There is no profressional/technical split on the 50392 so the 26 is not appended. On the guidance code, there IS the split, so you are correct with the 26 modifier on that one.

 

[Jim Pawloski]

I just read in Dr. Z's book that U/S guidance is built into the nephrostomy charge.
HTH,
Jim Pawloski, CIRCC

 

[JDACPC]

According to CPT, the guidance is not included in 50392. "Radiological supervision and interpretation is reported with 74475, 76942, or 77012, when performed."