Dr. performed:
1. Cystourethroscopy with right double-J ureteral stent removal and replacement with a ureteral access stent.
2. Introduction of guide into renal pelvis percutaneously with dilation to establish nephrostomy tract.
3. Percutaneous nephrolithotomy with endoscopy and lithotripsy of stone, 1.5 cm in size.
4. Retrograde and antegrade pyelogram to delineate percutaneous access and nephrostomy tube placment.

It appears CPT 50080 covers everything such as the dilation, endoscopy, lithotripsy and stenting as mentioned in the CPT description.

So therefore I only bill 50080 and 74420-26 for the retrograde, is that correct?

I do not bill 50395 ? and what about the tube placement? I dont’ bill that either?

Trying to understand… Thanks in advance!

KAM – CPC