Adrenelectomy for Tumor During a Nephrectomy

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April 3, 2014

Question:

I performed a laparoscopic adrenelectomy for tumor with a urologist at the same time that she performed a nephrectomy. Do I report 60650, laparoscopic adrenelectomy? Or am I an assist on her case?

Answer:

Neither! You acted as co- surgeon on a single CPT code 50545, laparoscopic radical nephrectomy (includes removal of Gerota’s fascia and surrounding fatty tissue, removal of regional lymph nodes and adrenelectomy). Since you both performed separate and distinct parts of the same CPT code, you report as a co surgeon; 50545-62. The urologist will also report 50545-62 for her part of the procedure. You both will dictate an operative note detailing the procedures you performed.