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Wiki Physician Billing for IVR

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Cuteyr

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Hi all,

I am working for a physician who is doing IVR procedures in a hospital.
Please clarify the following scenario
If he is perfoming insertion of nephrostomy catheter using US guidance,how shdould i code that

is it
50392,76942-26
or
50392-26 and 76942-26.

I got confused suddenly..
Please clarify

Thanks
 
There is no profressional/technical split on the 50392 so the 26 is not appended. On the guidance code, there IS the split, so you are correct with the 26 modifier on that one.
 
According to CPT, the guidance is not included in 50392. "Radiological supervision and interpretation is reported with 74475, 76942, or 77012, when performed."
 
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