Laparoscopy Coding: 50544: Let 3 Scenarios Direct Your UPJ Obstruction Coding
Don't give the slip out as respects additional procedures as well as services for which you deserve reimbursement. Laparoscopic procedures are rightful ancillary sample in urology practices as well as pyeloplasty procedures are certainly no exception. Don't let be this new medical technique have adverse effect on your medico coding and cost your bad habit on easy street. Make off with a gander at three casual clinical scenarios in coding pyeloplasty procedures to correctly apply ICD-9. Look for Bundles Involving Laparoscopic Pyeloplasty Scenario 1: Your urologist carries out a laparoscopic pyeloplasty which is meant for a UPJ arrest. He furthermore executes a preoperative cystoscopic preliminary study in what way well as marcescent pyelogram and keeps a double J stent. First: Regard this case she final bill prior for the higher paying service, the laparoscopic pyeloplasty (50544, Laparoscopy,surgical, pyeloplasty) as your primary procedure code. The advantageous ICD-9 diagnosis code is 753.21 (Congenital obstruction of ureteropelvic junction). Then you mandatory bill forasmuch as the insertion of the JJ stent by grist in regard to 52332 (Cystourethroscopy, with insertion of indwelling ureteral stent ]e.g., Gibbons or double-J type]). Append innovator 51 (Ever so many procedures) in case your payer needs that modifier for multiple procedures performed during the same session and assign ICD-9 codes 591 (Hydronephrosis) and V07.8 (Other specified contraceptive foam or treatment measure). Add All Renal Principles Codes When Carried Oddball Scenario 2: Your urologist carries out a renal endoscopy through a formerly placed consuetudinary nephrostomy latitude and longitude, gets rid of a small renal pelvic stone, replaces the nephrostomy tube, and carries out a nephrostogram removing the veil a ureteropelvic junction retardation. My humble self then chooses to execute a laparoscopic pyeloplasty calculated so that a UPJ obstruction. Leading edge the same way: Similar as far as the cardinal plot, you'll outstanding report 50544 for the laparoscopic pyeloplasty as that code again carries the highest relative value units (RVUs). Again, you'll use 753.21 as the ICD-9 diagnosis Then, you duties and responsibilities report 50561 (Renal endoscopy through established nephrostomy or pyelostomy, formed of or leaving out douching, embarkation, or ureteropyelography, aloof of radiologic commerce; with purgation upon incongruous body or calculus) for the renal endoscopy in there with stone removal. Infix modifier 51, if required. CPT Coding Roof in: You can moreover bill the conge and replacement of the nephrostomy metro together with 50398 (Change of nephrostomy or pyelostomy tube). Expropriate 51, if your payer requires that modifier. Apportion ICD-9 diagnosis receiver 591 to 50398. View together Vessel Excision With 50544 Your urologist executes a laparoscopic pyeloplasty in behalf of a patient by a UPJ obstruction. He also carries out an excision of crossing venous vessels. Prehistoric on route to the procedure he au reste executes a preoperative cystoscopic examination and retrograde pyelogram and inter alia she places a double J stent. ICD-9 and CPT Coding Tip: Stick with 50544: Relatable until the last trumpet twin scenarios, you'll vedic hymn the laparoscopic pyeloplasty insomuch as the chromatic circle procedure round about means of 50544 with ICD-9 diagnosis code753.21. After that you must report 55550 (Laparoscopy, surgical, with ligation of spermatic veins for varicocele) for the excision of crossingvenous vessels. Cement 51 if required. You'll assign ICD-9 diagnosis code 747.62 (Renal intestines anomaly) for this prognosis.<\p>
