AMA Clinical Examples in Radiology - 2021 Issue 4 (Fall)
Nephrostomy Catheter Replacement
CLINICAL EXAMPLE 2 Nephrostomy Catheter Replacement INDICATION A 75-year-old male with hematuria and urinary incontinence is seen to exchange his nephroureteral catheter for a nephrostomy catheter. PROCEDURE Nephrostomy catheter exchange. COMPARISON Nephroureteral catheter placement on 06/28/2020. TECHNIQUE Informed consent was obtained and documented from the patient after the risks, benefits, and alternatives were explained. A surgical timeout was performed. The patient was placed in the prone position on the angiographic table. Under the direct supervision of the attending physician, intravenous infusions of fentanyl and midazolam were administered by a specifically trained nurse to achieve moderate sedation for a total...
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Article Overview
This article explains a nephrostomy catheter replacement case from a radiology coding example and discusses how the service is handled in CPT and ICD-10-CM. It is aimed at coders, billers, radiology practices, and compliance staff who need background on catheter exchange reporting, moderate sedation, and related diagnosis coding references. The discussion also places the example in the context of broader CPT genitourinary procedure guidance and related source references.
Why This Topic Matters
Nephrostomy and nephroureteral catheter services are common radiology procedures with specific CPT guidance. Understanding the article helps users evaluate whether the case involves exchange, placement, conversion, or removal concepts and how accompanying sedation and diagnosis coding are addressed in the source material.
Article Sections
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Clinical Example 2
A radiology case example presenting the clinical context, procedure overview, imaging findings, and procedural narrative for the catheter service.
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How to Code
A coding-focused section summarizing the primary procedure code, associated sedation reporting, and linked diagnosis codes discussed for the example.
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Discussion
Broader explanatory guidance on the relevant CPT section, related genitourinary procedure categories, sedation reporting context, and source references.
What You Will Learn
- How the article frames a nephrostomy-related catheter exchange example
- What coding topics are discussed for the procedure and accompanying sedation
- How the article situates the case within broader genitourinary CPT guidance
- What diagnosis coding references are linked to the clinical example
Who Should Read This
- Medical coders
- Radiology coders
- Billing specialists
- Compliance staff
- Revenue cycle professionals
- Physicians and advanced practice providers involved in procedural documentation
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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