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Transileal nephrostomy

  1. Default Transileal nephrostomy
    Medical Coding Books
    Hello:
    Can we code like this for the below documentation, Please confirm.
    CPT
    50684
    50688
    74425
    75984

    The right lower quadrant, ileostomy, and existing drainage
    catheter were prepped and draped in usual sterile manner.
    Initially contrast injected into the catheter demonstrated the
    catheter tip within the right renal pelvis. Minimal hydronephrosis
    is visualized.

    Using seldinger technique, the catheter was exchanged out over a
    Amplatz super stiff wire, and a new, 10.2 French, 45 cm all
    purpose
    drainage catheter with locking loop was placed, positioned with
    the tube with the up locking loop within the right renal pelvis.
    Final contrast injection was performed to confirm positioning.
    The ileostomy bag was replaced. The patient tolerated the
    procedure well, left the department in stable condition.

    Impression:

    Fluoroscopically guided exchange of a 10.2 French, 45 cm
    nephrostomy for
    new, 10.2 Fr, 45 cm long right retrograde transileal nephrostomy
    as above.

  2. #2
    Default
    add a 59 to the 74425...

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