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Ureteral Dilation

  1. #1
    Question Ureteral Dilation
    Medical Coding Books
    Please help I have a doctor that did cysto, BRP, ureteroscopy and a ureteral dilation for the dilation there was no stricture and I am having a hard time finding which CPT code to use any suggestions would be great thanks

    Jill

  2. #2
    Location
    Albany, New York
    Posts
    456
    Post
    What post-procedure diagnoses has the provider documented?


    Thank you,
    Karen Maloney, CPC
    Data Quality Specialist

  3. #3
    Default
    ureteral obstruction is the dx he used

  4. #4
    Location
    Albany, New York
    Posts
    456
    Smile
    You can handle this two ways......

    1) Based on the documentation you have, code dx 593.4, with (assuming the approach was transurethral) CPT 52344 and deal with a "possible" Medical Necessity denial OR

    2) Query the doctor for a more specific diagnosis (ie: stricture, hydronephrosis, etc), and verification of the procedure done.


    Karen Maloney, CPC
    Data Quality Specialist

  5. #5
    Default
    thank you very much that helps me out have a great day

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