Question:
I would greatly appreciate input on the proper coding of the surgery below:
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Robotic cystoprostatectomy
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Robotic BPLD
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Open ileal conduit.
The robot is undocked and an incision is made to perform the ileal conduit. The tacked ureters are found and the conduit is created. I should also mention the 50820 for the open ileal conduit allows a 50 modifier when performed bilaterally, as it is in this case. How should I code this?
Texas Subscriber
Answer: You should report the following:
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51999 (Unlisted laparoscopy procedure, bladder) benchmarked to 51570 (Cystectomy, complete; [separate procedure]) for the robotic cystectomy
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55866 (Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed) for the radical prostatectomy
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38571 (Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy) for the node dissection
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50820-50 (Ureteroileal conduit [ileal bladder], including intestine anastomosis [Bricker operation]; bilateral procedure) for the open ileal conduit with bilateral ureteroenterostomies, implantation of both ureters into the ileal conduit.
