Ob-Gyn Coding Alert

Does training involve biofeedback? Look to this procedure code.Before turning to surgical treatments for stress urinary incontinence (SUI), ob-gyns generally attempt to treat the condition with nonsurgical methods. These treatments provide their own coding dilemmas.One of the most common nonsurgical treatments for incontinence is to educate the patient to rehabilitate her pelvic floor muscles. A common exercise is Kegels, which increase the pelvic floor's muscle volume and develop stronger reflex contractions following a quick rise in intra-abdominal pressure - the precipitating factor in stress incontinence. Kegel instruction may take more than a brief verbal explanation or an educational pamphlet. The provider may also instruct the patient how to use biofeedback techniques.Remember Whom You're Coding ForIf a nurse is providing incontinence counseling, you can report it with 99211, says Peggy Stilley, CPC, COBGC, ACS-OB, director of auditing services at the American Academy of Professional Coders. You may report 99212-99214 if a [...]