AAPC - Back to school
Results 1 to 2 of 2

Thread: help coding nephroureteral catheter

  1. #1

    Default help coding nephroureteral catheter

    AAPC: Back to School
    Procedure details and findings:
    Patient was explained the procedure and its risk factors in detail. Written and oral consent was obtained. Patient was placed prone on the fluoroscopy table and region of interest was prepped and draped in usual sterile fashion.

    After giving 5 cc of buffered lidocaine a 20-gauge needle was advanced in the collecting system through the upper pole calyx with fluoroscopy guidance. Contrast was injected and collecting system was opacified.

    018 guidewire was passed through the needle. A neffset dilator/sheath was advanced over the guidewire into the upper ureter. The inner dilator and guidewire was removed. 035 guidewire was passed through the sheath and advanced in the urinary bladder. The sheath was removed and it was replaced by 5 French angled glide catheter over the guidewire. The catheter tip is placed in the urinary bladder.

    Similarly another access was provided to the middle pole calyx as discussed with referring physician.

    Catheters were secured by 2-0 silk and sterile dressing was applied.

    The procedure was done without any immediate complications. Patient left the procedure when a stable condition.

    Successful placement of the percutaneous nephrostomy access to the upper and middle pole calyx.

    would i could 50393/74480 once or code it x2 since the dr. put one in the upper and middle
    Carl Hurst, CPC, CCVTC

  2. #2


    The first tube ended in the bladder but it does not state if it stopped in the kidney or was and interal/external tube whether capped or attached to a drainage bag. The second access needs to be a little clear as well. But from what I get from the note you would code 50393 / 74480 for the ureteral stent and due to the second access I would also code 50392 / 74475

Similar Threads

  1. Nephroureteral Stent Repair
    By EikaMTGQueen in forum Interventional Radiology
    Replies: 1
    Last Post: 12-05-2012, 02:39 PM
  2. Need help!!! nephrostogram with exchange of right nephroureteral stent
    By sheilacpc in forum Interventional Radiology
    Replies: 1
    Last Post: 09-14-2012, 09:10 AM
  3. Exchange Neph to Nephroureteral cath with ureteral dilatation
    By Liza559 in forum Interventional Radiology
    Replies: 3
    Last Post: 05-24-2012, 08:12 PM
  4. Nephroureteral Stent Change
    By vicki1996 in forum Urology
    Replies: 0
    Last Post: 04-14-2011, 10:16 AM
  5. Bilateral nephroureteral stent exchange
    By Shirleybala in forum Interventional Radiology
    Replies: 3
    Last Post: 12-10-2008, 09:52 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.