Radiology Question for the Week of May 20, 2024

Question:

How would you code when a radiologist is asked to create a new access, or enlarge an existing access, for a urologist to perform subsequent endourologic procedures?

Answer:

If there is an existing nephrostomy tube or nephroureteral catheter and that tract is enlarged by the radiologist to allow the surgeon to use larger instruments during an endourologic procedure, such as a kidney stone removal, this is reported with code 50436. When there is no existing nephrostomy tube or nephroureteral catheter the radiologist must create the access as well as dilate the tract for the surgeon, this is reported with code 50437. Some phrases to look for in documentation to identify these procedures include balloon dilator, serial dilators, or sheath. Neither of these codes should be used for the normal dilation of the tract for placement of a nephrostomy tube or nephroureteral catheter. Normal, basic dilation is included in the placement codes 50432, 50433, or 52334.

Print Friendly, PDF & Email
Facebook
Twitter
LinkedIn

CPT® copyright 2023 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.

Unlock 50% off all 2024 edition books when you order by July 5! Use the coupon code CO5024 at checkout to claim this offer!

Honor Memorial Day with Savings! Get 20% off all items using code MEMORIAL24 at checkout. Shop today and save! Offer valid until May 31. Exclusions apply.

Happy World Health Day! Our exclusive webcast, ‘2024 SDoH Update: Navigating Coding and Screening Assessment,’  is just $99 for a limited time! Use code WorldHealth24 at checkout.