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Nephro ureteral stent removal

  1. #1
    Location
    Richmond Virginia
    Posts
    507
    Question Nephro ureteral stent removal
    Medical Coding Books
    ***would you charge for the injection in the neprostomy with the removal?***
    ?? 50394 & 74425-59 with 50389... or just 50389


    Impression:
    1. No residual stone is identified post percutaneous
    nephrolithotripsy.
    2. Successful removal of nephroureteral stent.
    3. Patient complained of oral thrush and was treated with oral
    nystatin he has been instructed to follow up with Dr. Nelson

    History: Status post percutaneous nephrolithotripsy

    Anesthesia:
    1. 1% lidocaine.

    Contrast: Iso-250: 30 ml. Fluoro Time: 2.4 min.

    Procedure: Informed consent was obtained. Multiple overhead
    radiographs were obtained in conjunction with injection of contrast
    into a left nephrostomy. Upon completion of the nephrostogram the
    nephro ureteral stent was removed. Completion radiographs were
    obtained.

    Findings:

    Initial radiograph:

    Stones: none
    Antegrade pyelogram:
    Stone burden: none
    Calices: intact
    Pelvis: intact
    UPJ: intact
    Ureter: intact

  2. #2
    Default
    My coding software says the 50394 is bundled; and since it's not a separate session or area, I wouldn't think you could use the 59. I would keep the radiology code, though.

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