UCR 134: PCNL clarification - revisited, coding laparoscopic nephrectomy with bladder cuff, and retrograde pyelogram with stent exchanges/ureteroscopic coding
February 24, 2023
Mark, Ray, and Scott discuss questions that came into the PRS Community.
- I listened to the most recent podcast episode regarding the updated PCNL codes and I'm still confused on why we can't bill 50436 or 50437 with 50080/50081? Dilation was deleted from the code description and I attended an AUA webinar in Dec 2022 that said the dilation could be reported separately. What's changed?
- Good morning, Does 50548 include laparoscopic bladder cuff, or would the bladder cuff be separately billable with 51999? Bladder cuff is not mentioned in the code descriptor.
- It was discussed at New Orleans seminar that retrograde pyelogram (74420) was not appropriate to report with stent exchanges/ureteroscopic procedures (as it is considered included as part of the guidance for these procedures). Is this direction based on CPT guidance or is there another reference?
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