What is FL pyelogram retrograde?
A retrograde pyelogram is an imaging test that uses X-rays to look at your bladder, ureters, and kidneys. The ureters are the long tubes that connect your kidneys to your bladder. This test is usually done during a test called cystoscopy. It uses an endoscope, which is a long, flexible, lighted tube.
What is retrograde Ureterography?
What is retrograde ureterography? It is a. method of visualizing radiographically the pelvis. and calyces of the kidney and the whole length of. the ureter by injecting contrast medium retro-
What is the difference between KUB and IVP?
Unlike a kidneys, ureters, and bladder x-ray (KUB), which is a plain (that is, noncontrast) radiograph, an IVP uses contrast to highlight the urinary tract.
How does a retrograde pyelogram work?
Retrograde pyelography is a form of x-ray used to get detailed pictures of the ureters and kidneys. Retrograde pyelography uses a special dye (“contrast agent”) injected into the ureters. The dye makes the ureters and kidneys more easily seen on the x-ray. This test is like an intravenous pyelogram (IVP).
How is a retrograde pyelogram done?
A retrograde pyelogram is performed by injecting dye into a thin tube (catheter) into opening of ureter (tube draining kidney into bladder). This can be used to outline ureter/kidney anatomy and assist in placement of the stent.
What is the CPT code for retrograde pyelogram?
52005
Retrograde pyelograms When a physician performs a cystoscopy with a retrograde pyelogram (RPG), report CPT code 52005.
What contrast is used for retrograde pyelogram?
Contrast is categorized by osmolality, of which there are 3 groups: isoosmolar, low osmolar, and high osmolar. As osmolarity decreases, radiographic density increases. For retrograde pyelography, the contrast is typically diluted to 50% using sterile water by the physician.
How do you prepare a patient for a retrograde pyelogram?
Before having an RPG done, there are a few things you should do in preparation:
- Fast for a few hours before the procedure. Many doctors will tell you to stop eating and drinking after midnight on the day of the procedure.
- Take a laxative.
- Take some time off work.
- Stop taking certain medications.
Does CPT code 52356 include retrograde pyelogram?
A. According to Medicare Correct Coding Initiative (CCI) edits, retrograde pyelograms are bundled into cystoscopy codes 52320 through 52355 and cannot be unbundled, unless the procedure is performed on separate ureters.
How do you code a retrograde pyelogram?
Retrograde pyelograms When a physician performs a cystoscopy with a retrograde pyelogram (RPG), report CPT code 52005.