Bilateral Native Nephrectomy Cpt Code

The descriptor for cpt code 50545 always has caused confusion.

Bilateral native nephrectomy cpt code. Medicare will not allow modifier 50 bilateral procedure to be used with 50220 because removal of both kidneys in the same session would be a medical impossibility improbability. Both nephrectomies were performed with separate incisions and closures. Nephrectomy of remaining kidney. The descriptor reads laparoscopy surgical.

Code 50370 has an mue of 1 and 50220 is bundled with no modifier allowed per cci. The code for a simple nephrectomy is 50220 nephrectomy including partial ureterectomy any approach including rib resection. We will be using modifier 22 due to scar tissue from the previous surgery. Cpt icd 9 icd 10 50240 rvus 37 56 189 0 c64 2.

Code 50220 has an mue of 2. Radical nephrectomy includes removal of gerota s fascia and surrounding fatty tissue removal of regional lymph nodes and adrenalectomy leading most people to think that all of the tissues in the parenthetical must be removed in order to report this code. Transplant from live non related donor. Through separate second incision 50240 partial nephr ectomy.

Icd pcs procedure coding system codes are used for facility reporting of hospital inpatient procedures in relation to kidney transplant which include. 55 51 nephroureterectomy55 52 nephrectomy of remaining kidney55 53 removal of transplanted or rejected kidney 55 54 bilateral nephrectomy 55 61 renal autotransplantation 55 69 other kidney transplantation. 0tb00zz excision of right kidney open approach0tb10zz excision of left kidney open approach0tt00zz resection of right kidney open approach. Exploration of left kidney partial nephrectomy positive biopsy of renal resection bed and total radical nephrectomy.

Transplant from live related donor.