AMA CPT® Assistant - 2018 Issue 3 (March)

Surgery: Urinary System (Q&A) (March 2018)

March 2018 page 11a Surgery: Urinary System Question: Is code 50435 reported for the placement of a new nephrostomy tube via the old tract when the old nephrostomy tube had totally fallen out and the tract has closed? The procedure includes wire insertion from the old tract, tract dilatation, contrast injection, and new tube placement. Answer: No, code 50435, Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, would not be reported. This code is reported only if the nephrostomy tube is still in...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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