March 2018 page 11a
Surgery: Urinary System
Question: Is code 50435 reported for the placement of a new nephrostomy tube via the old tract when the old nephrostomy tube had totally fallen out and the tract has closed? The procedure includes wire insertion from the old tract, tract dilatation, contrast injection, and new tube placement.
Answer: No, code 50435, Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, would not be reported. This code is reported only if the nephrostomy tube is still in...
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