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Retrograde pyelogram of duplex ureter

  1. Default Retrograde pyelogram of duplex ureter
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    What would be the correct way to code for a Left ureteroscopy, double left retrograde pyelograms (due to the duplex left ureters)? I am considering 52005, 50394, 74420-26, and 74420-26,76.

    Thanks for any ideas,
    Alisa, CPC

  2. Default
    I would probably use 52351 and 74420-26 based upon the information provided.
    Did your doctor preform a cystourethroscopy or a cystourethroscopy with ureteroscopy? This would make a difference between the code selection of 52005 and 52351. If the cystourethroscopy with ureteroscopy was performed, 52005 should bundle with it.
    Also, I would only report 74420-26 once. Modifier -76 makes me think of a complication and the procedure was repeated, probably later in the day. I would make sure to put dx code 753.4 (I don't not have my ICD with me, so I am not sure this is the accurate code) for duplicate ureter.

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