CPT^® 50432, Under Other Renal Introduction (Injection/Change/Removal) Procedures

The Current Procedural Terminology (CPT^®) code 50432 as maintained by American Medical Association, is a medical procedural code under the range - Other Renal Introduction (Injection/Change/Removal) Procedures.

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Summary

The provider uses ultrasound and/or fluoroscopy (imaging technologies that display live images on a video monitor) to place a catheter through the skin (percutaneously) into the renal pelvis to divert urine due to blockage within the renal pelvis or ureters. He may also inject contrast material to image the internal structures of the kidney (nephrostogram) and ureter (ureterogram). The procedure includes radiological supervision and interpretation.

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Attempted Nephrostomy

A patient was admitted for sepsis, and a request was made for bilateral nephrostomy. Using ultrasound guidance, a 22 g chiba was used to access the collecting system. Unfortunately, the was no hydron... [ Read More ]

PCNL with New Access?

I would suggest the following coding fopr your clinical scenario: 50081-LT 50432-LT for renal access and for nephrostomy tube placement 52332-RT for the contralatweral JJ stent placement ... [ Read More ]

PCNL with New Access?

Hi! I'd like a second opinion on how I've coded this procedure. Thanks! 50081-LT 50432-52-LT 52332-50 52005 74420-26 Indication for operation: Bilateral staghorn calculus. Plan for staged bilateral ... [ Read More ]

Percutaneous Nephrostomy Tubes?

Hello, You are on right path and 50081-RT is correct this includes stent placement. The 50389 would be used if tube was removed and stent was placed as the only procedure. Look into the 50432-LT inste... [ Read More ]

PCNL with antegrade neprhostogram

maybe this will help- CPT- 50431- existing access - Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and ... [ Read More ]

Global Procedures w/ Radiologist Overread

You are just coding 50432 for the nephrostomy tube placement. U/S and fluoroscopy is bundled into 50432.... [ Read More ]

Global Procedures w/ Radiologist Overread

Please help with coding for the professional components for both the physician & radiologist for the following scenario: A physician is performing a procedure that includes radiologic guidance & sup... [ Read More ]

PCNL thru existing tract?

Your coworker is correct, this would be captured by 50081. CPT 50081 does not make a distinction if it is a new or existing access. This code includes the dilation of the nephrostomy tract to allow ... [ Read More ]

50395 denied as bundled to 50080

[b]50395[/b] Medicare denied the 50395-59 when billed with 50081 50431-59 50432 I sent without the 59 on the 50431 and resent and paid 50431 and still not the 50395... [ Read More ]

PCNL with additional work (more than 50081?)

Looking for some advice on the following (the relevant details are in bold): POSTOPERATIVE DIAGNOSIS: Left kidney stones. OPERATION: Left percutaneous nephrolithotomy. The patient has upper p... [ Read More ]

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