Urology Coding Alert
Gain Control of Your Stress Incontinence Treatment Coding
Make sure you can distinguish the different SUI treatment options - mistakes could cost ... Read more
Make sure you can distinguish the different SUI treatment options - mistakes could cost ... Read more
Plug Up Leaky Reimbursement for Sphincter Deficiency Implants
Using 599.82 for SUI implants solves your 51715 woes - but coding for supplies is tricki... Read more
Using 599.82 for SUI implants solves your 51715 woes - but coding for supplies is tricki... Read more
RVU Update:
Expect More Pay for Evaluation and Management Codes in 2005
CMS finds 2 ways to raise the fees for E/M services next year There's good news f... Read more
Expect More Pay for Evaluation and Management Codes in 2005
CMS finds 2 ways to raise the fees for E/M services next year There's good news f... Read more
E/M Brushup:
Test Your Coding Skills on These 3 Scenarios
Focus on the right components to bring in $15 per exam Knowing how the CPT Rules apply fo... Read more
Test Your Coding Skills on These 3 Scenarios
Focus on the right components to bring in $15 per exam Knowing how the CPT Rules apply fo... Read more
Reader Questions:
Be Sure No One Can Fault Your Culture Coding
Question: I'm wondering about CPT Code 87081, urine screen culture. What are the req... Read more
Be Sure No One Can Fault Your Culture Coding
Question: I'm wondering about CPT Code 87081, urine screen culture. What are the req... Read more
Reader Questions:
Use Reason for Bladder Scan to Decide Code
Question: When my urologist does a bladder scan in the office, which code should I use? I ... Read more
Use Reason for Bladder Scan to Decide Code
Question: When my urologist does a bladder scan in the office, which code should I use? I ... Read more
Reader Questions:
Get Specific With Prosthesis Malfunction Diagnosis
Question: Our surgeon revised a malfunctioning inflatable penile prosthesis. Our Blue Cr... Read more
Get Specific With Prosthesis Malfunction Diagnosis
Question: Our surgeon revised a malfunctioning inflatable penile prosthesis. Our Blue Cr... Read more
Reader Questions:
Unravel the Da Vinci Code
Question: In November, both of my urologists will start using the Da Vinci system for robo... Read more
Unravel the Da Vinci Code
Question: In November, both of my urologists will start using the Da Vinci system for robo... Read more
Reader Questions:
Corral Migrating Stents With Modifier -22
Question: A patient had a laser lithotripsy, and the urologist left a stent in place. She ... Read more
Corral Migrating Stents With Modifier -22
Question: A patient had a laser lithotripsy, and the urologist left a stent in place. She ... Read more
You Be the Coder:
Irrigation and Suprapubic Tube Change
Question: My urologist did a suprapubic tube change (51705). He had heard at a seminar tha... Read more
Irrigation and Suprapubic Tube Change
Question: My urologist did a suprapubic tube change (51705). He had heard at a seminar tha... Read more
CPT 2005 Update:
Ring In the New Year With 3 New Fournier's Debridement Codes
Plus: Look for new therapeutic installation and pelvic-floor repair codes Your days of... Read more
Ring In the New Year With 3 New Fournier's Debridement Codes
Plus: Look for new therapeutic installation and pelvic-floor repair codes Your days of... Read more
Code Kidney Transplant Preparations More Accurately
CPT 2005 adds backbench codes and revises donor nephrectomy descriptors There is often ex... Read more
CPT 2005 adds backbench codes and revises donor nephrectomy descriptors There is often ex... Read more
Know the Ropes for Coding Consults and Referrals
Brush up on the difference to stay away from audits - and save $45 Just because anoth... Read more
Brush up on the difference to stay away from audits - and save $45 Just because anoth... Read more
Untangle Admissions From Office Visits:
4 Scenarios Show You the Way
Get the pay you deserve for 2-day services If you want to earn your fair share of reimburs... Read more
4 Scenarios Show You the Way
Get the pay you deserve for 2-day services If you want to earn your fair share of reimburs... Read more
You Be the Expert:
Report Initial Hospital Care for Admits Only
Question: I was recently called into the hospital to take over the care of a patient whe... Read more
Report Initial Hospital Care for Admits Only
Question: I was recently called into the hospital to take over the care of a patient whe... Read more
Reader Question:
No Modifiers Needed for 2 Surgeons' Work
Question: Dr. A was performing a hand-assisted laparoscopic nephrectomy. Dr. B had to exte... Read more
No Modifiers Needed for 2 Surgeons' Work
Question: Dr. A was performing a hand-assisted laparoscopic nephrectomy. Dr. B had to exte... Read more
Reader Question:
Report New ICD-9 Code for Overflow Incontinence
Question: Is 788.3 the right ICD-9 Code to report for urinary incontinence, as of Oct. 1... Read more
Report New ICD-9 Code for Overflow Incontinence
Question: Is 788.3 the right ICD-9 Code to report for urinary incontinence, as of Oct. 1... Read more
Reader Question:
Service on Oct. 1? Apply New ICD-9 Codes
Question: I'm wondering about the new ICD-9 Codes that came out on Oct. 1. If the date of ... Read more
Service on Oct. 1? Apply New ICD-9 Codes
Question: I'm wondering about the new ICD-9 Codes that came out on Oct. 1. If the date of ... Read more
Reader Question:
Be Sure 99211 Service Is Significant
Question: We have a patient with a chronic catheter. He brought his own supplies, and the ... Read more
Be Sure 99211 Service Is Significant
Question: We have a patient with a chronic catheter. He brought his own supplies, and the ... Read more
Reader Question:
Use Unlisted-Procedure Code for Renal Cryoablation
Question: My surgeon performed an intraoperative renal ultrasound and true-cut biopsy on a... Read more
Use Unlisted-Procedure Code for Renal Cryoablation
Question: My surgeon performed an intraoperative renal ultrasound and true-cut biopsy on a... Read more
Reader Question:
Append -47 to Prostate Block for Some Private Payers
Question: We have been billing CPT 64450 for the prostate block when we do a prostate bi... Read more
Append -47 to Prostate Block for Some Private Payers
Question: We have been billing CPT 64450 for the prostate block when we do a prostate bi... Read more
Reader Question:
Same-Day Discharge? Report the 99234 Series
Question: We kept a patient in the hospital overnight for observation and decided the next... Read more
Same-Day Discharge? Report the 99234 Series
Question: We kept a patient in the hospital overnight for observation and decided the next... Read more
You Be the Coder:
Bowel-to-Bowel Anastomosis
Question: A patient had a squamous cell cancer of the urethra that spread to the prostat... Read more
Bowel-to-Bowel Anastomosis
Question: A patient had a squamous cell cancer of the urethra that spread to the prostat... Read more
Harvest Bountiful Returns for Correct Brachytherapy Seed Coding
With more than $700 per procedure on the line, keeping the physicians' roles straigh... Read more
With more than $700 per procedure on the line, keeping the physicians' roles straigh... Read more
NCCI 10.3 Update:
Ureterolysis, Needle Guidance Feel the Bundling Fury
Starting Oct. 1, you'll be coding 26 urology procedures differentlyWhen your urologist des... Read more
Ureterolysis, Needle Guidance Feel the Bundling Fury
Starting Oct. 1, you'll be coding 26 urology procedures differentlyWhen your urologist des... Read more
Quick Key:
Master the Ureterolysis Edits With This Tool
Check this list before you report 50715 with another urology procedure Ncci Edits 10.... Read more
Master the Ureterolysis Edits With This Tool
Check this list before you report 50715 with another urology procedure Ncci Edits 10.... Read more
3 Tips to Improve Your 51701 Encounter Pay
The rules have changed now that 51701 is no longer a starred procedure When billing for o... Read more
The rules have changed now that 51701 is no longer a starred procedure When billing for o... Read more
Correction:
BPH Diagnosis for PSA
An article in the September 2004 issue of the Urology Coding Alert, "BPH With Obstr... Read more
BPH Diagnosis for PSA
An article in the September 2004 issue of the Urology Coding Alert, "BPH With Obstr... Read more
Reader Question:
Understand the Nature of Duplicate Urethra for Correct Coding
Question: Which code should I report for excision of a duplicate urethra? The urologist is... Read more
Understand the Nature of Duplicate Urethra for Correct Coding
Question: Which code should I report for excision of a duplicate urethra? The urologist is... Read more
Reader Question:
Laparoscopic Vasectomy Is an Unlisted Procedure
Question: Which code should I report for a laparoscopic vasectomy? This was done at the sa... Read more
Laparoscopic Vasectomy Is an Unlisted Procedure
Question: Which code should I report for a laparoscopic vasectomy? This was done at the sa... Read more
Reader Question:
Code Acucise Fearlessly With Endopyelotomy Code
Question: My physician did a percutaneous nephrostolithotomy but was unable to insert a si... Read more
Code Acucise Fearlessly With Endopyelotomy Code
Question: My physician did a percutaneous nephrostolithotomy but was unable to insert a si... Read more
You Be the Coder:
Clot Evacuation and Tumor Fulguration
Question: My doctor performed an evacuation of a clot and fulguration of a bladder tumor... Read more
Clot Evacuation and Tumor Fulguration
Question: My doctor performed an evacuation of a clot and fulguration of a bladder tumor... Read more
Case Study:
Perk Up Your Percutaneous Nephrolithotomy Coding
Kidney stones gather no reimbursement - unless you know your modifiers and code descriptor... Read more
Perk Up Your Percutaneous Nephrolithotomy Coding
Kidney stones gather no reimbursement - unless you know your modifiers and code descriptor... Read more
News You Can Use:
BPH With Obstruction to Diagnosis List for PSA
The bad news: Lower allowances for Zoladex, Lupron and ViadurGood news: On Oct. 1, you'll ... Read more
BPH With Obstruction to Diagnosis List for PSA
The bad news: Lower allowances for Zoladex, Lupron and ViadurGood news: On Oct. 1, you'll ... Read more
Reporting 2 Diagnosis Codes for Modifier -25 Claims? Read This First
Paying attention to globals can rescue you from costly denials Your urologist provide... Read more
Paying attention to globals can rescue you from costly denials Your urologist provide... Read more
Reader Question:
Use Surgeon's Interpretation to Determine Coding Within Global
Question: My urologist saw a Medicare patient who had had a TURP (CPT Code 52612, Transu... Read more
Use Surgeon's Interpretation to Determine Coding Within Global
Question: My urologist saw a Medicare patient who had had a TURP (CPT Code 52612, Transu... Read more
Reader Question:
Include Abdomen, Pelvis Codes for Spiral CT
Question: About six months ago we purchased our own CT scanner. We were informed that when... Read more
Include Abdomen, Pelvis Codes for Spiral CT
Question: About six months ago we purchased our own CT scanner. We were informed that when... Read more
Reader Question:
Only Code Corpora Injections Once
Question: A patient came into the office complaining of impotence. We billed J2440 and 542... Read more
Only Code Corpora Injections Once
Question: A patient came into the office complaining of impotence. We billed J2440 and 542... Read more
Reader Question:
Meet Incident-To Guidelines for Nurse Cysto
Question: According to the Medicare Carriers Manual, CPT Code 74455 must have personal sup... Read more
Meet Incident-To Guidelines for Nurse Cysto
Question: According to the Medicare Carriers Manual, CPT Code 74455 must have personal sup... Read more
Reader Question:
Look at Diverticulum Code for Perineal Mass
Question: One of my urologists did a perineal exploration and excision of perineal mass. I... Read more
Look at Diverticulum Code for Perineal Mass
Question: One of my urologists did a perineal exploration and excision of perineal mass. I... Read more
You Be the Coder:
Groin Exploration
Question: Our patient was to have a hydrocelectomy. After the patient was asleep, the ur... Read more
Groin Exploration
Question: Our patient was to have a hydrocelectomy. After the patient was asleep, the ur... Read more
Master Your Interstitial Cystitis Coding With This Expert Strategy
Recoup more than $200 per patient with these treatment and drug codes With almost a h... Read more
Recoup more than $200 per patient with these treatment and drug codes With almost a h... Read more
Don't Count Out 52260 for Lack of Diagnosis
Hint: Code 595.1 isn't the only medically necessary diagnosis CPT Codes 52260 and 52265 s... Read more
Hint: Code 595.1 isn't the only medically necessary diagnosis CPT Codes 52260 and 52265 s... Read more
Don't Get Litho-Tripped Up by ESWL Coding
Proper modifier use is key to surviving these kidney stone scenariosESWL is ESWL is ESWL ... Read more
Proper modifier use is key to surviving these kidney stone scenariosESWL is ESWL is ESWL ... Read more
News You Can Use:
CMS Revises Policy for Office Visit With Chemo Injection
Still billing 96400 with 99211? Not anymore, Medicare says If you're confused by recent ... Read more
CMS Revises Policy for Office Visit With Chemo Injection
Still billing 96400 with 99211? Not anymore, Medicare says If you're confused by recent ... Read more
Take Steps Reduce Denials for Teaching Physician Services
Techniques can clarify confusing Medicare guidelines When a physician works as a "teachin... Read more
Techniques can clarify confusing Medicare guidelines When a physician works as a "teachin... Read more
You Be the Expert:
TP Rules and Med Students
Question: I've heard about the new teaching physician (TP) guidelines and was wonde... Read more
TP Rules and Med Students
Question: I've heard about the new teaching physician (TP) guidelines and was wonde... Read more
Reader Questions:
Check Documentation for Plenaxis
Question: We've started using Plenaxis, which was just approved by the FDA last November, ... Read more
Check Documentation for Plenaxis
Question: We've started using Plenaxis, which was just approved by the FDA last November, ... Read more
Reader Questions:
1 Code Covers Meatotomy and Meatoplasty
Reviewed on May 27, 2015; no changes to content Question: Our urologist perfor... Read more
1 Code Covers Meatotomy and Meatoplasty
Reviewed on May 27, 2015; no changes to content Question: Our urologist perfor... Read more
Reader Questions:
Can't Have Your PVP and TURP, Too
Question: My urologist started a photoselective vaporization of the prostate (PVP) and the... Read more
Can't Have Your PVP and TURP, Too
Question: My urologist started a photoselective vaporization of the prostate (PVP) and the... Read more
Reader Questions:
Consider Partial Cystectomy Code for
Question: My urologist did a very involved procedure for a patient with a ureteral tumor, ... Read more
Consider Partial Cystectomy Code for
Question: My urologist did a very involved procedure for a patient with a ureteral tumor, ... Read more
Reader Question:
Know the Meaning of 'Immediately Available'
Question: If the doctor has to leave the room for a few minutes during a procedure ... Read more
Know the Meaning of 'Immediately Available'
Question: If the doctor has to leave the room for a few minutes during a procedure ... Read more
You Be the Coder:
Ejaculatory Duct Mass
Question: Which CPT code should I use to bill a transurethral approach of a resection of... Read more
Ejaculatory Duct Mass
Question: Which CPT code should I use to bill a transurethral approach of a resection of... Read more
New ICD-9 Codes Bring Good News for Urogynecologists
Report specific genital prolapses and track prostate cancer susceptibility with these new ... Read more
Report specific genital prolapses and track prostate cancer susceptibility with these new ... Read more
News You Can Use:
CMS Bundles Surgical Prostatectomies
NCCI 10.2 affects laparoscopies, lidocaine injections and catheters Be careful how you co... Read more
CMS Bundles Surgical Prostatectomies
NCCI 10.2 affects laparoscopies, lidocaine injections and catheters Be careful how you co... Read more
Reader Question:
Is Cysto Bundle Breakable?
Question: Can we bill CPT 52005 and CPT 52332 when they're done at the same session, if ... Read more
Is Cysto Bundle Breakable?
Question: Can we bill CPT 52005 and CPT 52332 when they're done at the same session, if ... Read more
Reader Question:
Beware of Duplicating Radiology Claims
Question: We sent a patient for X-rays of his kidney, ureters and bladder (KUB). The pati... Read more
Beware of Duplicating Radiology Claims
Question: We sent a patient for X-rays of his kidney, ureters and bladder (KUB). The pati... Read more
Reader Question:
Don't Get Drained by Catheter Coding
Question: Our doctor inserts a catheter to collect "clean catch" urine specimens. What's ... Read more
Don't Get Drained by Catheter Coding
Question: Our doctor inserts a catheter to collect "clean catch" urine specimens. What's ... Read more
Visualize Full Reimbursement for Urological Imaging
Improper coding of ultrasounds and x-rays could cost you $242 for each prostate biopsy and... Read more
Improper coding of ultrasounds and x-rays could cost you $242 for each prostate biopsy and... Read more
You Be The Coder:
Circumnavigate Circumcision Codes
Question: What's the diagnosis code for a patient unable to retract his foreskin? ... Read more
Circumnavigate Circumcision Codes
Question: What's the diagnosis code for a patient unable to retract his foreskin? ... Read more
Inject Success Into Your Urethral Implant Coding
Know how to code the tests, supplies and procedures -- and see a $300 pay up Coding for u... Read more
Know how to code the tests, supplies and procedures -- and see a $300 pay up Coding for u... Read more
News You Can Use:
Medicare Clarifies CMS-1500 Form Rules
Mixing up ordering and supervising physicians could lead to violations If a urologist orde... Read more
Medicare Clarifies CMS-1500 Form Rules
Mixing up ordering and supervising physicians could lead to violations If a urologist orde... Read more
Coder-to-Coder:
Prolonged Services
Struggling to secure payment for your urologist's prolonged services? Try this field-teste... Read more
Prolonged Services
Struggling to secure payment for your urologist's prolonged services? Try this field-teste... Read more
Reader Question:
Unblock Payment Options for Nerve Block
Question: Our physicians have started using a prostatic block for prostate biopsies. Can w... Read more
Unblock Payment Options for Nerve Block
Question: Our physicians have started using a prostatic block for prostate biopsies. Can w... Read more
Reader Question:
Know Rules for PSA Screenings and Diagnostics
Question: What are Medicare's coverage criteria for PSA testing? Are both free and total P... Read more
Know Rules for PSA Screenings and Diagnostics
Question: What are Medicare's coverage criteria for PSA testing? Are both free and total P... Read more
Reader Question:
Incident-To Rules Govern Instruction
Question: What's the correct code for a nurse teaching a patient to perform self-catheteri... Read more
Incident-To Rules Govern Instruction
Question: What's the correct code for a nurse teaching a patient to perform self-catheteri... Read more
Reader Question:
Warm Up to Renal Cryosurgery Coding
Question: Is there a code for renal cryosurgery? The urologist made an incision and placed... Read more
Warm Up to Renal Cryosurgery Coding
Question: Is there a code for renal cryosurgery? The urologist made an incision and placed... Read more
Reader Question:
Don't Strain Reporting Hernia Repair With 54640
Question: If my doctor performs an inguinal hernia repair and an orchiopexy in the same su... Read more
Don't Strain Reporting Hernia Repair With 54640
Question: If my doctor performs an inguinal hernia repair and an orchiopexy in the same su... Read more
Case Study:
Hematuria and Cystourethroscopy Lead to Multiple ED and Office Codes
Documentation is key to getting reimbursed for several procedures in different sites No m... Read more
Hematuria and Cystourethroscopy Lead to Multiple ED and Office Codes
Documentation is key to getting reimbursed for several procedures in different sites No m... Read more
Expect Pay if You Know the Urological Supply Ropes
Understand Medicare's definition of 'permanent' for accurate catheter paymen... Read more
Understand Medicare's definition of 'permanent' for accurate catheter paymen... Read more
You Be The coder:
54065 Covers All Wart Removal Methods
Question: Our doctor performed fulguration on 28 genital warts comprising about 14 sq cm... Read more
54065 Covers All Wart Removal Methods
Question: Our doctor performed fulguration on 28 genital warts comprising about 14 sq cm... Read more
News You Can Use:
Say Goodbye to Your Coding Compliance Grace Periods
Tip: Review the CMS Web site to update charge forms You'll have a little less time to adj... Read more
Say Goodbye to Your Coding Compliance Grace Periods
Tip: Review the CMS Web site to update charge forms You'll have a little less time to adj... Read more
Get ABNs, or Risk Picking Up Patient Tabs
Without ABNs, unpaid Medicare bills may become your problem If you aren't obtaining a... Read more
Without ABNs, unpaid Medicare bills may become your problem If you aren't obtaining a... Read more
Reader Question:
Welcome Back, A4644!
Question: In the 2004 HCPCS book, A4644 is crossed out. Which code should I use now when... Read more
Welcome Back, A4644!
Question: In the 2004 HCPCS book, A4644 is crossed out. Which code should I use now when... Read more
Reader Question:
Vaporize Coding Problems With TURP Code
Question: My doctor performed a cystourethroscopy with evacuation of clots from the bladde... Read more
Vaporize Coding Problems With TURP Code
Question: My doctor performed a cystourethroscopy with evacuation of clots from the bladde... Read more
Reader Question:
Use Insertion Code for Prosthesis Revision
Question: Our doctor did a revision of a testicular prosthesis with scrotal exploration. T... Read more
Use Insertion Code for Prosthesis Revision
Question: Our doctor did a revision of a testicular prosthesis with scrotal exploration. T... Read more
Reader Question:
Code for Both Lupron Injections and Supplies
Question: Does the J code for Lupron include both the cost of the drug and the time the ph... Read more
Code for Both Lupron Injections and Supplies
Question: Does the J code for Lupron include both the cost of the drug and the time the ph... Read more
Reader Question:
Don't Expect Reimbursement for Sperm Aspiration
Question: One of our doctors would like to start doing sperm aspiration on patients who ha... Read more
Don't Expect Reimbursement for Sperm Aspiration
Question: One of our doctors would like to start doing sperm aspiration on patients who ha... Read more
Reader Question:
Don't Stress Over Stress Test Coding
Question: Is there a code for a saline stress test? My doctor is checking for any bladder ... Read more
Don't Stress Over Stress Test Coding
Question: Is there a code for a saline stress test? My doctor is checking for any bladder ... Read more
Reader question:
Multiple Procedures Lead to Complex Coding
Question: One of my physicians performed an percutaneous nephrostolithotomy with rem... Read more
Multiple Procedures Lead to Complex Coding
Question: One of my physicians performed an percutaneous nephrostolithotomy with rem... Read more
Reader Question:
All That Gets Paid Is Not Gold
Question: I'm wondering about coding for gold marker placement into the prostate. From wha... Read more
All That Gets Paid Is Not Gold
Question: I'm wondering about coding for gold marker placement into the prostate. From wha... Read more
Reader Question:
Follow the CMS Definition of 'Deliver'
Question: Since the purpose of an ABN is to inform the patient about a service, our office... Read more
Follow the CMS Definition of 'Deliver'
Question: Since the purpose of an ABN is to inform the patient about a service, our office... Read more
Frequently Asked Questions About Coding Hand-Assisted Laparoscopies
3 answers can boost your reimbursement by 30 percent Can't find a code for a hand-assiste... Read more
3 answers can boost your reimbursement by 30 percent Can't find a code for a hand-assiste... Read more
News You Can Use:
NCCI 10.1 Complicates Coding for Dilation and Stenosis
Find out when you can -- and can't -- use -59 to override the latest edits Reporti... Read more
NCCI 10.1 Complicates Coding for Dilation and Stenosis
Find out when you can -- and can't -- use -59 to override the latest edits Reporti... Read more
Quick Key:
Get the NCCI 10.1 Rundown Here
Integrate these new urology bundles before the month's end The National Correct Coding Ini... Read more
Get the NCCI 10.1 Rundown Here
Integrate these new urology bundles before the month's end The National Correct Coding Ini... Read more
Reader Question:
Expand Your Prosthesis Coding With This Rule
Question: A patient presented with an infected non-inflatable penile prosthesis. We remove... Read more
Expand Your Prosthesis Coding With This Rule
Question: A patient presented with an infected non-inflatable penile prosthesis. We remove... Read more
Reader Question:
Open Up Billing Opportunities With Nephrectomy
Question: Our surgeon performed a hand-assisted laparoscopic radical nephrectomy and finis... Read more
Open Up Billing Opportunities With Nephrectomy
Question: Our surgeon performed a hand-assisted laparoscopic radical nephrectomy and finis... Read more
Reader Question:
Sling Questions at Your Doctor to Confirm Codes
Question: Normally, when our doctors do a urethral sling and an arcus tendinous bladder sl... Read more
Sling Questions at Your Doctor to Confirm Codes
Question: Normally, when our doctors do a urethral sling and an arcus tendinous bladder sl... Read more
Reader Question:
Add -22 to Services for Duplicate Ureter
Question: One of our patients has two ureters on the left side. The doctor placed double-J... Read more
Add -22 to Services for Duplicate Ureter
Question: One of our patients has two ureters on the left side. The doctor placed double-J... Read more
Reader Question:
Expect Modifiers for Unexpected Encounters
Question: A patient who had a percutaneous nephro-stolithotomy last week returned to the... Read more
Expect Modifiers for Unexpected Encounters
Question: A patient who had a percutaneous nephro-stolithotomy last week returned to the... Read more
Reader Question:
Focus on -51 for ESWL With Laser Procedures
Question: My physician is doing an ESWL, plus a ureteronephroscopy with holmium laser of t... Read more
Focus on -51 for ESWL With Laser Procedures
Question: My physician is doing an ESWL, plus a ureteronephroscopy with holmium laser of t... Read more
Reader Question:
Ponder Alternatives to 52310
Question: The physician palpated the patient's flaccid penis, and found a hard area in the... Read more
Ponder Alternatives to 52310
Question: The physician palpated the patient's flaccid penis, and found a hard area in the... Read more
You Be The Coder:
Point to Path/Lab Codes for Prostate Massage
Question: My physician does EPS (express prostatic secretion) on several patients. He uses... Read more
Point to Path/Lab Codes for Prostate Massage
Question: My physician does EPS (express prostatic secretion) on several patients. He uses... Read more
Eliminate Guesswork Using These Cancer Diagnosis and Treatment Codes
Juggling codes for PSA is easy Knowing how to code for diagnosis and treatment of pro... Read more
Juggling codes for PSA is easy Knowing how to code for diagnosis and treatment of pro... Read more
Spare Yourself E/M Appeals For NPPs
Know your 'incident-to' coding rulesCoding right the first time for incident-to E/M servic... Read more
Know your 'incident-to' coding rulesCoding right the first time for incident-to E/M servic... Read more
Get Used to Coding for NPPs
Growing numbers mean more scrutinyAccording to the American Medical Association, nearly 60... Read more
Growing numbers mean more scrutinyAccording to the American Medical Association, nearly 60... Read more
News Briefs:
Learn Your LMRP's Interferon Rules for Reimbursement
Check with carriers for your statusIn several states, CMS will no longer reimburse for doc... Read more
Learn Your LMRP's Interferon Rules for Reimbursement
Check with carriers for your statusIn several states, CMS will no longer reimburse for doc... Read more
NCCI 10.0 Bundles Retrograde Cystos With Other Cystos
urology practices may no longer unbundle CPT Code 52005. National Correct Coding Initiat... Read more
urology practices may no longer unbundle CPT Code 52005. National Correct Coding Initiat... Read more
You Be the Coder - Reader Question
Cut Through Bladder Coding Confusion Question: Our physician performed a transurethra... Read more
Cut Through Bladder Coding Confusion Question: Our physician performed a transurethra... Read more
Reader Question:
Rack Up Reimbursement for 54600
Question: Should we be reimbursed for a bilateral reduction of torsion of testes? I billed... Read more
Rack Up Reimbursement for 54600
Question: Should we be reimbursed for a bilateral reduction of torsion of testes? I billed... Read more
Reader Question:
Learn Carrier's Policy for Urodynamics
Question: Medicare is denying 51741-26 when billed with 52000, 51726-26, 51784-26, 51795-2... Read more
Learn Carrier's Policy for Urodynamics
Question: Medicare is denying 51741-26 when billed with 52000, 51726-26, 51784-26, 51795-2... Read more
Reader Question:
Track Category II Codes for Quality of Care
Question: What is the new Category II section in CPT code 2004 and how should we use it?Pe... Read more
Track Category II Codes for Quality of Care
Question: What is the new Category II section in CPT code 2004 and how should we use it?Pe... Read more
Reader Question:
Add -52 for Ileal Conduit With Total Urethrectomy
Question: We performed a radical cystectomy with an ileal conduit diversion (51595) for ... Read more
Add -52 for Ileal Conduit With Total Urethrectomy
Question: We performed a radical cystectomy with an ileal conduit diversion (51595) for ... Read more
Reader Question:
Append Modifier -62 for Double Bill
Question: A patient presents for a combined incontinence correction procedure and vaginal ... Read more
Append Modifier -62 for Double Bill
Question: A patient presents for a combined incontinence correction procedure and vaginal ... Read more
Don't Give Up on Vasectomy Reimbursement
Cut through the confusion with these tips Several managed-care providers and private carr... Read more
Cut through the confusion with these tips Several managed-care providers and private carr... Read more
New Year Brings New Edits:
NCCI 10.0 Bundles Cystourethroscopy Procedures
Separate anesthesia billing is a no-no A new year means new National Correct Coding Init... Read more
NCCI 10.0 Bundles Cystourethroscopy Procedures
Separate anesthesia billing is a no-no A new year means new National Correct Coding Init... Read more
News Brief:
Payments Increase 1.5 Percent for Urologists in 2004 and 2005Payments Increase 1.5 Percent for Urologists in 2004 and 2005
Urologists break even as work RVUs are cut and conversion factor increases CMS offered u... Read more
Payments Increase 1.5 Percent for Urologists in 2004 and 2005Payments Increase 1.5 Percent for Urologists in 2004 and 2005
Urologists break even as work RVUs are cut and conversion factor increases CMS offered u... Read more
Quick Key:
Get the NCCI 10.0 Rundown Here
New bundles will keep you current The National Correct Coding Initiative ( Ncci Edits ), ... Read more
Get the NCCI 10.0 Rundown Here
New bundles will keep you current The National Correct Coding Initiative ( Ncci Edits ), ... Read more
Pelvic Pouch Procedure Proves Prickly
Question: My urologist did an endoscopic examination (cystoscopy) of a continent abdominal... Read more
Question: My urologist did an endoscopic examination (cystoscopy) of a continent abdominal... Read more
Restructure Appeals With These 6 Steps
Get organized for easier, more productive appeals When your practice receives a deni... Read more
Get organized for easier, more productive appeals When your practice receives a deni... Read more
Reader Question:
Two Surgeons Starring in a Double Bill
Question: One of our urologists performed a sling operation and a sacrospinous ligament fi... Read more
Two Surgeons Starring in a Double Bill
Question: One of our urologists performed a sling operation and a sacrospinous ligament fi... Read more
Reader Question:
Get the Mo$t for a Doubleheader
Question: We diagnosed a patient complaining with cystitis. We performed a cystoscopy and ... Read more
Get the Mo$t for a Doubleheader
Question: We diagnosed a patient complaining with cystitis. We performed a cystoscopy and ... Read more
Reader Question:
Not Everybody Must Get Stones
Question: A diagnosis of kidney stones required that we perform an extracorporeal shockwav... Read more
Not Everybody Must Get Stones
Question: A diagnosis of kidney stones required that we perform an extracorporeal shockwav... Read more
Reader Question:
Getting Short-Stay and TURP Pay
Question: An emergency room patient presented with gross hematuria and inability to void. ... Read more
Getting Short-Stay and TURP Pay
Question: An emergency room patient presented with gross hematuria and inability to void. ... Read more
You Be the Coder:
Partial TURP Yields Partial Reimbursement
Question: Should I use a code for transurethral resection of the prostate (TURP) and app... Read more
Partial TURP Yields Partial Reimbursement
Question: Should I use a code for transurethral resection of the prostate (TURP) and app... Read more
Major CPT and ICD-9 Code Changes Coming in 2004
Read this preview to make sure your office is up-to-date on new laparoscopy and urethrolys... Read more
Read this preview to make sure your office is up-to-date on new laparoscopy and urethrolys... Read more
Code Urodynamics Correctly to Avoid a Flood of Rejections
Take pressure off your bottom line with these tips Urodynamics diagnosis and procedur... Read more
Take pressure off your bottom line with these tips Urodynamics diagnosis and procedur... Read more
Go With the Flow Using Modifiers for Urodynamics
Everything you need to know to collect your fair share for urodynamics Code urodynamics s... Read more
Everything you need to know to collect your fair share for urodynamics Code urodynamics s... Read more
Your Key to Unlocking Biofeedback Reimbursement
Biofeedback may help patients relax, but it often stresses out coders trying to make sur... Read more
Biofeedback may help patients relax, but it often stresses out coders trying to make sur... Read more
Reader Question:
Billing Twice Isn't Nice for Cystourethroscopy
Question: Is CPT 52005 a bilateral procedure? The physician does the same procedure for ... Read more
Billing Twice Isn't Nice for Cystourethroscopy
Question: Is CPT 52005 a bilateral procedure? The physician does the same procedure for ... Read more
Reader Question:
Missing Bladder Requires Crafty Coding
Question: A 65-year-old patient underwent a radical cystectomy for bladder cancer, with an... Read more
Missing Bladder Requires Crafty Coding
Question: A 65-year-old patient underwent a radical cystectomy for bladder cancer, with an... Read more
Reader Question:
Coding Calculus Doesn't Have to Be Hard
Question: How should we code for a pouchoscopy with holmium laser lithotripsy of Indiana p... Read more
Coding Calculus Doesn't Have to Be Hard
Question: How should we code for a pouchoscopy with holmium laser lithotripsy of Indiana p... Read more
You Be the Coder:
Dig Deep for Biopsy Reimbursement
Question: When a doctor performs a transurethral biopsy of the bladder and a transurethr... Read more
Dig Deep for Biopsy Reimbursement
Question: When a doctor performs a transurethral biopsy of the bladder and a transurethr... Read more