Medical Coding

Category - 50,000 Series

A 25-year-old female patient with ESRD received a dual renal transplant without nephrectomy. What is the correct code for this transplant?
  1. 50360 -50
  2. 50360
  3. 50365
  4. 50365 -50
Explanation
Answer: A - The correct code for this transplant is 50360 (Renal Allotransplantation, Implantation of Graft; without Recipient Nephrectomy) and modifier -50. Modifier -50 must be included on the claim to indicate that the service was bilateral (it was performed dually). Code 50365 is incorrect because it is used for a renal transplantation with nephrectomy, meaning that the patient’s kidneys were removed before the transplants were implanted. This was not the case.
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