Retrograde Pyelo

Hey listers,
Still have questions on the retro Pyelo.  Can someone tell me the distinct difference between 52005 and 52351??
Thank you!!!Carol

Comments

  • edited May 2017
    Does this help?

    52005 Lay Terms:
    The physician passes a cystoscope through the urethra and into the bladder. Then after the examination, the physician inserts a catheter into the ureter and performs an irrigation, instillation and/or introduction of a contrast medium to facilitate the visual or radiological study of ureteric and renal pelvic structures.

    Tips
    Do not report CPT code 52000 along with CPT code 52005 because CPT code 52005 include CPT code 52000.
    If the physician performs a retrograde pyelogram in the hospital with only a radiology technician to operate the equipment, bill CPT code 52005 and CPT codes 74420-26. Appending of modifier 26 (the professional component) indicates that the doctor interpreted the radiological results.
    If the surgeon performs a retrograde pyelogram in the hospital with a radiologist present to interpret the results, the surgeon would bill CPT code 52005 only. The presence of a radiologist during the performance of the retrograde study is rare.
    If the doctor performs a retrograde pyelogram in his office using physician-owned equipment and his own technician, bill CPT code 52005 and CPT code 74420 with no modifiers. In this case the doctor gets the full amount for the radiology service because he owns the equipment and pays the technician as well to interpret the results.


    From: CAROL SELF [mailto:carolself_cpcemt@yahoo.com]
    Sent: Wednesday, June 15, 2016 12:22 PM
    To: Multiple recipients of list PARTB-L
    Subject: [partb-l] Retrograde Pyelo

    Hey listers,

    Still have questions on the retro Pyelo. Can someone tell me the distinct difference between 52005 and 52351??

    Thank you!!!
    Carol
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