Wiki Ureteral stent placment during kidney transplantation

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Does anyone know if billing a kidney transplantation 50360 with the placement of a ureteral stent 50605 is compliant? We have billed both out together and have gotten paid for the stent but a recent presentation has made us think otherwise about billing out the stent. Does anyone know something we do not or have suggestions?
 
I don't see why you can't report it. The renal transplant codes are in the kidney section and the ureter stent is in the ureter section and neither procedure is listed as a "seperate" service. CCI came out earlier this year that a ureter stent would bundle to ureter procedures, so in my opinion, I think it should be okay to bill.
 
myself and some colleagues ponder the same. Although cci does not show as bundled - -
my stance on it is this: The stent placement 50605 - reads "ureterotomy for insertion of indwelling stent, all types". A 'new' ureterotomy is not being performed to place the stent - as the ureter (s) are already transected for the placement of the renal allograft. The actual anastamosis/cystostomy/ureteroneocystostomy often, (if not mostly), is constructed OVER the double-J ureteric stent; hence, not making it a separate ureterotomy for placement of a stent. Physician/medical periodicals - stents are included and a given after renal transplantation to prevent stricture/obstruction. This is one of those 'grey' areas that us coders just love! Right? So, yes I think you can support if audited WHY you added and can prove it isn't cci or cpt bundled. But on the other hand - I view it as included as indicated above. I do not add the 50605 with the 50360
 
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Per AMA- “If the physician is performing a surgery in which the ureter has to be cut and sutured to another organ, it is inappropriate to report code 50605, Ureterotomy for insertion of indwelling stent, all types. For example, if a physician is performing a cystectomy, nephrectomy, or kidney transplant, it is inappropriate to report code 50605.
Same position with Medicare.

We don't use it.
 
daniel said:
Per AMA- “If the physician is performing a surgery in which the ureter has to be cut and sutured to another organ, it is inappropriate to report code 50605, Ureterotomy for insertion of indwelling stent, all types. For example, if a physician is performing a cystectomy, nephrectomy, or kidney transplant, it is inappropriate to report code 50605.
Same position with Medicare.

We don't use it.
Click to expand...
Thank you, that's what I found on Medicare too: 1742580309393.png
 
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