CPT^® 74420, Under Diagnostic Radiology (Diagnostic Imaging) Procedures of the Urinary Tract

The Current Procedural Terminology (CPT^®) code 74420 as maintained by American Medical Association, is a medical procedural code under the range - Diagnostic Radiology (Diagnostic Imaging) Procedures of the Urinary Tract.

Additional/Related Information

Tabs

Summary

The provider images the urinary tract by performing a retrograde urography, also known as a retrograde pyelography in which he inserts the radiopaque contrast material through a catheter so that it enters against the normal flow of liquid into the kidney and ureters. The provider usually performs this procedure to investigate any upper urinary tract obstruction.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 74420 ? Start a discussion here

Is 52341 separately reportable with 52355?

Hi Coders, Here is my OP report: "The right ureteral orifice was in their orthotopic location and was cannulated with a guidewire. A second wire was placed in the left ureteral orifice under fluorosc... [ Read More ]

Bladder Biopsy/Fulguration

Although a resectoscope and loop were used, I would still consider this procedure as bladder biopsies with fulguration of the biopsy sites, and thus bill 52204. Also I do not believe there is enough d... [ Read More ]

Bladder Biopsy/Fulguration

Hi! This patient underwent a repeat bladder biopsy due to abnormal scans, my question is whether the fulguration is billable in this case? It seems to me like the biopsy site was fulgurated for hemost... [ 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?

Hi! I'm a bit stumped on this one. I was thinking: 50081-RT 74420-26 Would it be appropriate to bill 50389-RT for the removal of the right nephrostomy tube? [B]POSTOPERATIVE DIAGNOSES: [/B]Bilateral... [ Read More ]

Retrograde Pyelogram

[QUOTE="catharine, post: 485288, member: 36093"] [SIZE=4]If you are only doing a cystoscopy and a retrograde pyelogram you should be using 52005, while this can be a bilateral code, insurances only ac... [ Read More ]

Retrograde Pyelogram

[SIZE=4]If you are only doing a cystoscopy and a retrograde pyelogram you should be using 52005, while this can be a bilateral code, insurances only acknowledge this as unilateral since we only have o... [ Read More ]

Urology

52356.50......... that's all you get......... If retrograde Pyelogram one. add 74420.26... [ Read More ]

Retrograde Pyelogram

Good Morning I'm looking for some help with coding denials for Retrograde Pyelogram-CPT 74420(26) and Cystourethroscopy-52332. As I have reviewed there are no active CCI edits between the two codes, h... [ Read More ]

View All