Open Endoscopic and Percutaneous Code Combinations

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Open, Endoscopic and Percutaneous Code Combinations

If a procedure code narrative does not specify whether it is an open or an endoscopic procedure, then its use with another code with a narrative that does specify it as endoscopic creates an inappropriate combination of codes. For example: 

  • M2930 Removal of prosthesis from ureter + M3000 Endoscopic examination of ureter

The use of a combination of an open and an endoscopic procedure code for the same organ creates an inappropriate combination of codes. For example:

  • M0610 Open removal of calculus from kidney + M1000 Therapeutic endoscopic operations on kidney (include cystoscopy and retrograde catheterisation)

The use of a combination of an open and a percutaneous procedure to the same organ creates an inappropriate combination of codes. For example:

  • M0610 Open removal of calculus from kidney + M0940 Percutaneous nephrolithotomy (including cystoscopy and retrograde catheterisation)

A combination of procedure codes for the same organ or approach to that organ creates an inappropriate combination of codes.

A combination of procedure codes with different approaches (open, endoscopic or percutaneous) to the same organ specified in the narrative creates an inappropriate combination of codes. 

A combination of procedure codes with the same approach (open, endoscopic or percutaneous) to the same organ specified in the narrative creates an inappropriate combination of codes. For example:

  • M0610 Open removal of calculus from kidney + M0800 Other open operations on kidney