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Urodynamic Studies with Voiding Cystogram and Fluoroscopy

Brenda Ray

Best answers
This question was on the Urology Discussion Forum a while back but nobody ever responded with a definitive answer. Thought I would try again.

76000 (Fluoro) bundles with 51600/74455 (voiding cystogram). Is it appropriate to use 74455 when only spot fluoro images were done? Are these stored hard copy images that are required in order to charge S&I 74455? Is it appropriate to add modifier ?59 to the fluoro when fluoro and contrast was used during the entire cystogram?

Thanks for your help! If this is not your area of expertise, would you please inform me of a SME in this urological/radiological field? Thanks!!!