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Simple and Radical Nephrectomy

  1. #1
    Default Simple and Radical Nephrectomy
    Medical Coding Books
    The surgeon performed a left Simple (not partial) and a Right Radical Nephrectomy. How would this need to be coded/billed? Would it be a 50230 and a 50220 w/59 modifier? Thanks in advance for any help on this issue.

  2. #2
    Albany, New York

    Without more details about the procedures, I will not attempt to verify your choice of CPT codes.

    I will suggest modifiers RT (for simple) and LT (for Radical).
    You have to be careful in your use of Modifier 59. That modifier tends to be over-used, even in cases where there is no need to indicate that a separate and distinct procedure was done. Your CPT assignment in this case (if two different CPTs) would indicate that the procedures are separate/ distinct.
    Karen Maloney, CPC
    Data Quality Specialist

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