CPT^® 50693, Under Other Introduction (Injection/Change/Removal) Procedures on the Ureter

The Current Procedural Terminology (CPT^®) code 50693 as maintained by American Medical Association, is a medical procedural code under the range - Other Introduction (Injection/Change/Removal) Procedures on the Ureter.

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Summary

The provider uses a pre–existing nephrostomy tract and ultrasound and/or fluoroscopy, imaging technologies that display live images on a video monitor, to guide placement of a ureteral stent, a thin tube placed into a ureter at an area of stricture, or narrowing, to prevent obstruction or to maintain drainage of urine from the kidney. 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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PCNL

Hello, has anyone coded for the placement of a Nephrostomy tube prior to surgery for PCNL by Interventional Radiology. I used CPT code 50561-Renal Endoscopy through an established nephrostomy tu... [ Read More ]

RT NEPHROLITHOTOMY PERCUTANEOUS, URETEROSCOPY ANTEGRADE WITH DILATION OF STRICTURE AT ANASTOMOSIS, RT STENT AND NEPHROSTOMY TUBE

The operative report is not well dictated and confusing, but I believe 50693 and 50706 would appear to be correct. Also add 50435 for nephrostomy tube re-placement.... [ Read More ]

RT NEPHROLITHOTOMY PERCUTANEOUS, URETEROSCOPY ANTEGRADE WITH DILATION OF STRICTURE AT ANASTOMOSIS, RT STENT AND NEPHROSTOMY TUBE

Surgical Technique: After informed consent and adequate anesthesia patient was placed in a prone position back and flank were prepped with Betadine solution sterilely draped. Examination of fluorosco... [ 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 ]

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 ]

Nephrouterostomy catheter anastomosis pass-through and curling around ileal conduit

PREOPERATIVE DIAGNOSIS: Stricture at the right ureteroileal conduit anastomosis with right hydroureteronephrosis. POSTOPERATIVE DIAGNOSIS: Stricture at the right ureteroileal condui... [ Read More ]

PCNL with nephrostogram

[QUOTE="JEYCPC, post: 391359, member: 84"]I agree that the cysto is not appropriate to bill when used to check the work. Also 50081 includes the stenting so 50693 should not be billed either. Last... [ Read More ]

PCNL with nephrostogram

I agree that the cysto is not appropriate to bill when used to check the work. Also 50081 includes the stenting so 50693 should not be billed either. Lastly, in order to bill for 74425-26, there n... [ Read More ]

PCNL with nephrostogram

Codes 50081, 50693 and 74425 should all be good with the appropriate modifers (RT, 51, etc.). I question if this is the appropriate use for 52000, since the cysto is not an integral part of the PCNL &... [ Read More ]

PCNL with nephrostogram

Heya. Looking for some guidance on the op report below. Thanks for the help, it is really appreciated. Would you code as: 50081 50693 52000 74425 [I]NAME OF OPERATION: 1. Right percutaneous nephr... [ Read More ]

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