AMA CPT® Assistant - 2008 Issue 12 (December)

Surgery: Urinary System (December 2008)

December 2008 page 7a Surgery: Urinary System, 50080, 50395, 74485 (Q&A) Question: Is it appropriate for the urologist to report code 50080 (unmodified) when another provider (eg, radiologist) obtains access? When are codes 50395 and 74485 applicable? Answer: Yes. If a new nephrostomy tract is established percutaneously using image guidance by another provider, then that provider should report code 50395, Introduction of guide into renal pelvis and/or ureter with dilation to establish nephrostomy tract, percutaneous. When a different physician performs the percutaneous nephrostolithotomy (PNL), report either code 50080, Percutaneous nephrostolithotomy or pyelostolithotomy, with or without dilation, endoscopy, lithotripsy...

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