AMA CPT® Assistant - 2009 Issue 1 (January)

Surgery/Urinary System, Radiology/Diagnostic Radiology (Diagnostic Imaging) (January 2009)

January 2009 page 7 Surgery: Urinary System, Radiology/Diagnostic Radiology, 50395, 74485 (Q&A) Question: When are codes 50395 and 74485 applicable? Is it appropriate to use these codes when an external tract (from the skin into the renal pelvis) is dilated to facilitate placement of a catheter or device(s)? Answer: CPT code 50395, Introduction of guide into renal pelvis and/or ureter with dilation to establish nephrostomy tract, percutaneous, describes the creation of a tract for an endourologic procedure. Commonly, an existing nephrostomy is converted to a large tract (such as 30 French) for endourological interventions. However, code 50395 is...

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