50395 and 74485

Please note this question was answered in 2014. The coding advice may or may not be outdated.

Question:

The radiologist and urologist are working together on nephrolithotomy cases. Is it appropriate to report code 74485 for the radiologist when they work together in the OR? For example: 1) The radiologist creates the tract (50395). The radiologist joins the urologist in the OR and dilates the tract for the stone removal and dictates a procedure report. Can the radiologist bill code 74485 for dilating the tract, or is it included with stone removal? 2) The urologist creates the tract, the radiologist and urologist work together in the OR, and the radiologist dilates the tract for the nephrolithotomy and dictates a procedure report. Can the radiologist bill code 74485 for dilating the tract in this situation?

Question ID: 5924
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