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Open Bilateral Nephrectomy

  1. #1
    Default Open Bilateral Nephrectomy
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    I have a case where the urology surgeon did an open bilateral nephrectomy, he left the adrenal glands in situ. Apparently, the patients family is donating a kidney, but the kidneys were not transplanted that day. I tried billing 50234 -50, but was given an error stating that modifier 50 is incorrect for this code. So, I was looking at 50340 -50. Any advice on the proper coding???

  2. #2
    Des Moines, IA
    I agree with 50340 -50, the Coding Desk Reference mentions that the adrenal glands are not removed in this procedure.

  3. #3
    I'm new to Urology coding, so, I guess I was just concerned because that code is listed under transplant codes in the CPT book...well, I guess that's fitting since this person is going to eventually have a transplant. I suppose the other code won't work bilaterally, because usually a person does not have both kidneys removed unless in case of a which case you should be using codes related to renal transplant, 50340. Thanks for helping me think that through!

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