Urology Coding Alert

The CPT 2003 Scoop:
Laparoscopic Partial Nephrectomy Code Has Arrived
CPT Codes 2003, which goes into effect Jan. 1, 2003, brings significant additions t... Read more
Diagnosis-Code BPH Symptoms, Not BPH for PSA Reimbursement
Before you bill your next PSA screening, you'd better get cozy with the new ... Read more
Avoid Modifier -63 With 53025
A CPT Codes 2003 modification the addition of modifier -63 (Procedure performed on... Read more
Codes to Avoid With 84153
Beginning Nov. 25, don't be surprised when your PSA claims for Medicare patients get... Read more
Reader Questions:
Code Around CCI Complications
Question: We have had trouble coding for a certain procedure at our office. The ... Read more
Reader Questions:
Use -59 With Biopsies and No History of Bladder Tumors
Question: Which code should I use for bladder biopsies and fulguration of bladder biop... Read more
Reader Questions:
Boldly Bill Bilateral Cystoscopy
Question: Can urology procedures be billed bilaterally? In particular, I am confus... Read more
You Be the Coder:
Ease Coding for Assistant at Surgery
Test your coding knowledge. Determine how you would code this situation before lookin... Read more
CCI 8.3 Update:
Edits Stress CMS Standard of Care
The latest version of the national Correct Coding Initiative (CCI), effective Oct.... Read more
Successfully Bill Consultations in and out of the Office
Although urologists frequently provide consultations, properly reporting these E/M s... Read more
Bundles Barely Budge Urology Coding Practices
According to the CCI 8.3 edits, all procedures in code range 50010-58976 excluding the ... Read more
Use -57 With Intraoperative Consultations
Learn the rules of modifier -57 (Decision for surgery) and you will be rewarded for cons... Read more
Reader Questions:
Vaporize Laser Lithotripsy Woes
Question: A newcomer to urology coding, I am having a difficult time finding two laser ... Read more
Reader Questions:
Manage Mysterious Biopsy Coding
Question: How should I bill a transurethral prostate biopsy? Should I use code 55700? Ne... Read more
Reader Questions:
Straightforward Catheter Conduit Coding
Question: Should I use the same technique for coding catheterization of a conduit for a ... Read more
You Be the Coder:
Reduction of Paraphimosis
Test your coding knowledge. Determine how you would code this situation before lookin... Read more
Cross the Finish Line First With Your Next Radiology Interpretation Claim
Winner takes all when submitting claims for interpretation of radiological services.... Read more
Modifiers -58 and -78 Can Unbundle Suprapubic Catheters
Correct code selection for suprapubic catheter insertion is a true test of a... Read more
Get Paid for 51040 With Cryosurgery of the Prostate
Trying to figure out whether a cystostomy can or cannot be coded separately with cryosur... Read more
News Brief:
No More Denial Tears:Major Insurers Cover Cryosurgery
Anthem Blue Cross and Blue Shield in Connecticut on July 15 joined five of its fellow ... Read more
Reader Question:
Partial Turned Radical Nephrectomy
Question: A patient presented with a mass in his kidney, and my physician performed a ... Read more
Reader Question:
Ureterotomy Necessity
Question: When I am billing CPT 50605 with CPT 50780 I am getting denied by HMO with... Read more
Reader Question:
Operating Room Cystoscopy
Question: The doctor performed a cystoscopy in the office to remove a stone from prost... Read more
Reader Question:
52000,51010 and Sling Operations
Question: I am confused about the rules for billing CPT 52000 and CPT 51010 with ... Read more
Reader Question:
Colovesical Fistula Repair
Question: A urologist and a general surgeon together repair a c... Read more
You Be the Coder:
Discontinued TUMT
Test your coding knowledge. Determine how you would code this situation before looking... Read more
How to Unbundle 52332 From the Ureteroscopy Codes
Long-awaited answers to coders' questions about whether indwelling J-ste... Read more
Get Reimbursed for Higher-Paying Component Codes
A simple brushup on anatomy could mean an extra $100 of reimbursement on you... Read more
In-Office Services Stand Up to Fee Cuts
While in-facility urologists are losing money on cystoscopy and treatment procedures... Read more
2002 ICD-9 Changes Revise Aftercare Codes
Updates to the ICD-9-CM codes give urology coders new V codes for follow-up ser... Read more
Reader Question:
Percutaneous Nephrolithotomy
Question: If the radiologist creates access for the urologist to perform laser lithotri... Read more
Reader Question:
Graft Tissue for Sling Procedure
Question: We recently harvested graft tissue for a sling operation and are uncertain h... Read more
Reader Question:
Bladder Biopsies
Question: My physician recently performed multiple bladder biopsies, three to be exact, ... Read more
Reader Question:
Fractured Penis Repair
Question: I can't seem to find sufficient procedure and diagnosis codes for the repair... Read more
You Be the Coder:
Laparoscopic Radical Prostatectomy
Test your coding knowledge. Determine how you would code this situation before lo... Read more
How to Code a Change in the Operative Approach
The new laparoscopy codes make it easier to correctly code urological surgical pr... Read more
CCI 8.2 Update:
Ureterolysis Gets Bundled
Time to get out your trusty red pen: The Correct Coding Initiative 8.2 edits... Read more
Ignoring CCI Changes Could Cost You
There's one more reason to keep up with the latest Correct Coding Initiative ... Read more
Three Easy Ways to Optimize Reimbursement
Do you know when the 1997 Documentation Guidelines pay more for a service than the 1... Read more
Reader Question:
Intraoperative Assistance
Question: Our physician was called in to perform bladder repair on a patient undergoing ... Read more
Reader Question:
Scoping an Ileal Conduit
Question: A patient complaining of hematuria presented to one of our doctors. After e... Read more
Reader Question:
Cystoscopy Bundle
Question: A patient presented with left renal colic tha... Read more
Reader Question:
Transrectal Echography
Question: A colleague recently told me that he bills for both the ultrasonic guidance a... Read more
Reader Question:
Reduced Assistance
Question: My doctor is often called in to check patients' ureters when an ob/gyn perfor... Read more
You Be the Coder:
Nerve Blocks
Test your coding knowledge. Determine how you would code this situation before lookin... Read more
How to Ensure Proper Prostate Nodule Diagnosis Coding:
600.x or 239.5?
A urologist performs a prostatic nodule biopsy to determine if the nodule is benign or m... Read more
Prevasectomy Visits:
Drawing the Line Between Consults and New Patient Visits
Most urologists consider a prevasectomy visit a consultation (99241-99245). But most... Read more
Function Determines Code for Ureteral Stents or Catheters
Although stents and ureteral catheters have a lot in common, differences in how urologists... Read more
Reader Question:
ESWL Treatments
Question: How should we code repeat extracorporeal shock wave lithotripsy (ESWL) treatme... Read more
Reader Question:
Undetectable PSA Diagnosis
Question: What diagnosis should we use when a patient had prostate cancer but has been t... Read more
Reader Question:
Modifier -51
Question: Do we need modifier -51 (Multiple procedures) with 51726 (Complex cystometrogr... Read more
Reader Question:
Urethral Swab
Question: How should we code a urethral swab? Oregon Subscriber Answe... Read more
Reader Question:
Nephrectomy With Resection
Question: A physician performed a right nephrectomy with a resection of the ileal... Read more
Reader Question:
Undescended Testicle
Question: A primary care physician referred a patient to our urologist for an undescende... Read more
Reader Question:
Abdominoperineal Resection
Question: A urologist performed surgery on a patient with a presacral abscess (ICD-9 5... Read more
You Be the Coder:
Nephrectomy
Test your coding knowledge. Determine how you would code this situation before looking a... Read more
Reporting Underlying Condition for Female Sexual Dysfunction Differs From Male
Although many reimbursable codes exist for male erectile dysfunction, coding for wom... Read more
Prove Medical Necessity for Reimbursement of Pre-op Exams
Two recent changes one in the CPT Codes 2002 global surgery definition and a... Read more
Case Study:
Pelvic Floor Repair
Medicare and some commercial payers will pay for multiple procedures used to reco... Read more
Watch Edits When Coding Phimosis/Paraphimosis
Reviewed on May 27, 2015 Selection of the most appropriate CPT® code forthe trea... Read more
Phimosis and Paraphimosis Defined
Phimosis is a tight foreskin with a constriction of the preputial orifice causing an in... Read more
Reader Question:
Bladder Neck Contracture
Question: What code should I use for a laser transurethral resection of a bladder neck co... Read more
Reader Question:
Postsurgery Cystoscopy
Question: If our doctor checks by cystoscopy for bladder damage after urethropexy... Read more
Reader Question:
Reporting Triple Mix
Question: How should we bill for dispensing Triple Mix to the patient? Rhode Island Subs... Read more
Reader Question:
Bilateral Ureteral Reimplantation
Question: Are there separate codes for extra- and intravesical ureteral reimplantation? ... Read more
Reader Question:
Nerve Block
Question: I have heard that 64450 is the correct code for a dorsal penile nerve block ... Read more
Reader Question:
Penile Prosthesis
Question: Should we use CPT 54410 or CPT 54416 for removal and replacement of an in... Read more
Reader Question:
Radical Nephrectomy
Question: If during a radical nephrectomy there is no lymphadenectomy or vena caval t... Read more
You Be the Coder:
Removing and Replacing J Stents
Test your coding knowledge. Determine how you would code this situation before looking a... Read more
Follow LMRPs Closely for Impotence Testing and Treatment
Some tests and procedures for impotence are not covered at all or are covered unde... Read more
News Brief:
CCI 8.1 Edits Impact Urologists
The Correct Coding Initiative (CCI) version 8.1, effective April 1 to June 3... Read more
CPT 2002 Issues New Surgical Package Guidelines
CPT Codes 2002 added language to the surgical guidelines providing useful in... Read more
News Brief:
AMA Releases CPT Errata
The AMA issued corrections for CPT Changes 2002, An Insider's View, on Feb. 4, 2002. Y... Read more
Reader Question:
Random Biopsies
Question: How should I code for "random biopsies" in the bladder? Texas Subscriber Answe... Read more
Reader Question:
Stent Removal
Question: How should we bill for removing a stent in an ambulatory surgical center (AS... Read more
Reader Question:
Personal Use of Triple-Mix
Question: How should we handle coding when a patient purchases Triple-Mix for self-adm... Read more
Reader Question:
Zoladex in OPD
Question: How should we bill for giving a Zoladex injection in the hospital outpatient d... Read more
Reader Question:
Ureteroscopy with Stent Repositioning
Question: While removing a guide wire, a physician inadvertently pushed the stent up the... Read more
Reader Question:
Postsurgery Biofeedback
Question: How should we bill when performing biofeedback during the global period of a s... Read more
You Be the Coder:
Kidney Transplant
Test your coding knowledge. Determine how you would code this situation before looking ... Read more
Use Lithotripsy Codes for Laser Ablation
Reviewed on May 27, 2015   More urologists are removing stones by laser ablation. ... Read more
Modifier -25 Rules Differ for CPT, Private Payers and Medicare
CPT Codes says modifier -25 (Significant, separately identifiable evaluation and ... Read more
Clarification:
New Clot Evacuation Code Primarily for Hospital Use
We wish to clarify the information in the February article, News Brief: Controversy Su... Read more
Reader Question:
Hospital Care after ESWL
Question: If a patient had an ESWL and two days later requires admission for pain, how sho... Read more
Reader Question:
Filing Biofeedback Components
Question: Should I bill for an initial biofeedback evaluation with CPT 51784 and CPT 970... Read more
Reader Question:
Cystourethroscopy and ESWL
Question: Should I report CPT 50590 and CPT 52005 together? The physicians feel that thes... Read more
Reader Question:
Reporting Stents with Ureteroscopy
Question: Should we bill CPT 52352 and CPT 52332 together? We have been receiving denial... Read more
Reader Question:
Injection during Anesthesia
Question: What is the correct coding for a collagen injection into the urethra under anest... Read more
Reader Question:
Incision with Stone Removal
Question: How should I code for incising the neck of a caliceal diverticulum and the extra... Read more
You Be the Coder:
Catheterization Instruction
Test your coding knowledge.  Determine how you would code this situation before look... Read more
Report Prostate Nodules Based on Diagnosis, Procedure and Carrier Requirements
When a urologist palpates a nodule to determine if it is benign, he or she may order t... Read more
Location, Time, Days Determine Admission-Discharge Status
When a patient is admitted and discharged on the same day, consider the place of admission... Read more
News Brief:
Seminar Helps Urologists Gain Ethical Reimbursement
Michael A. Ferragamo, MD, consulting editor of Urology Coding Alert, will present Proven S... Read more
Reader Question:
Herniorrhaphy with Excision of Hydrocele
Question: How should I code a hydrocelectomy performed with inguinal hernia repair? The hy... Read more
Reader Question:
Cystourethroscopy after Consultation
Question: How should I bill for ... Read more
Reader Question:
Finding a Code for LUNA
Question: How should I code for laparoscopic uterosacral nerve ablation (LUNA)? Kansas Sub... Read more
Reader Question:
Nephrectomy without Adrenal Gland Removal
Question: Should I bill 50230 for a radical nephrectomy even if the adrenal gland was not... Read more
Reader Question:
Incisions for Pyeloplasty
Question: How should I code for a pyeloplasty using a dorsal lumbotomy incision?Indiana S... Read more
Reader Question:
Postsurgery Hematoma
Question: How should I bill for evacuation of a scrotal hematoma postoperatively? The pati... Read more
Reader Question:
Hysterectomy with Bladder Suspension
Question: Our urologist performed a bladder suspension at the same surgical encounter tha... Read more
You Be the Coder:
Same-Day Injections
Test your coding knowledge.  Determine how you would code this situation before loo... Read more
Coding Strategies for Biopsy and Orchiectomy
A diagnosis of testicular cancer is usually made clinically because the tumor feels hard... Read more
Location, Condition Drive Orchiopexy and Hernia Repair
Urologists occasionally perform an orchiopexy and hernia repair at the same session. Cod... Read more
News Brief:
Controversy Surrounds CCI Changes to 52001
Version 8.0 of the Correct Coding Initiative (CCI) contains several changes for urology.... Read more
For Bladder-Tumor Removal Use Cystourethroscopy, Neoplasm
Primary tumors of the prostate arise from cells within the prostate. A secondary prostate ... Read more
Reader Question:
Urine Test
Question: Which CPT code should I use for a post-ejaculate urine test? Connecticut Su... Read more
Reader Question:
Lithotripsy and Stone Removal
Question: Why can I no longer be paid for ureteroscopic lithotripsy (CPT 52353) with stone... Read more
Reader Question:
Cystograms
Question: Which combination of radiology and urology codes should I use for voiding cystog... Read more
Reader Question:
Unilateral Hernia Repair
Question: Our physician performed an exploration for a bilateral hernia but performed the... Read more
Reader Question:
Catheter for BCG
Question: Should I bill for a catheter used when instilling a ballistocardiograph (BCG)?Co... Read more
You Be the Coder:
Urinary Sphincter or Sling
Test your coding knowledge.  Determine how you would code this situation before l... Read more
Select Codes for Bladder Tumor Removal by Size, Not Number
When urologists remove more than one bladder tumor, selecting a code or codes based on the... Read more
Understand Medical Necessity for Urodynamics Coding
Now that Medicare is covering biofeedback and sacral nerve stimulation for incontinen... Read more
Choose Precise Codes for Multiple-Procedure Surgeries
When billing for multiple procedures, urologists must often choose between codes ... Read more
Reader Question:
Pre-and Postvoid Sonograms
Question: Should we bill for both pre- and postvoid studies on the same date for bladder s... Read more
Reader Question:
UPJ Obstruction
Question: How should we bill for a renal endoscopy, a nephrostomy, and a dilation of the ... Read more
Reader Question:
Interstitial Cystitis
Question: How should we code for cystoscopy with dilation for interstitial cystitis follow... Read more
Reader Question:
PSA Tests
Question: Which diagnosis code should we use for prostate specific antigen (PSA) testing f... Read more
You Be the Coder:
Fat Pad Repair
Test your coding knowledge.  Determine how you would code this situation before l... Read more
Available Years:  2002  2001  2000  1999