Urology Coding Alert
CCI 13.3 Update:
Prepare to Justify 51701-51703 With Other Surgical and Diagnostic Services
Get a grip on the new bundles before reporting your next prostatectomy Each quarter, ... Read more
Prepare to Justify 51701-51703 With Other Surgical and Diagnostic Services
Get a grip on the new bundles before reporting your next prostatectomy Each quarter, ... Read more
CPT 2008 Breaking News:
Get Specific With 2 New Urogynecology Codes
Bonus: You may soon be able to report sling procedures separately If your urologist o... Read more
Get Specific With 2 New Urogynecology Codes
Bonus: You may soon be able to report sling procedures separately If your urologist o... Read more
CPT 2008 Breaking News:
Anticipate Easier Telephone Service Coding Come January
Tip: A new code for e-visits may also be on the horizonIf your urologist is on the cutting... Read more
Anticipate Easier Telephone Service Coding Come January
Tip: A new code for e-visits may also be on the horizonIf your urologist is on the cutting... Read more
Effectively Append 54/55 With These Expert Tips
Coordinate coding with the other physician or prepare for a slew of denialsWhen your urolo... Read more
Coordinate coding with the other physician or prepare for a slew of denialsWhen your urolo... Read more
READER QUESTIONS:
Don't Overthink Bladder Sonograms
Question: My urologist would like me to bill for an ultrasound on the bladder to check vol... Read more
Don't Overthink Bladder Sonograms
Question: My urologist would like me to bill for an ultrasound on the bladder to check vol... Read more
READER QUESTIONS:
Count Pessary Cleaning in E/M
Question: We are looking for clarity regarding an insertion of a pessary, which is CPT 571... Read more
Count Pessary Cleaning in E/M
Question: We are looking for clarity regarding an insertion of a pessary, which is CPT 571... Read more
READER QUESTIONS:
Refer to Op Report for Polyp Excision Coding
Question: I need help coding an "excision of ureteral polyp." I found one code for the exc... Read more
Refer to Op Report for Polyp Excision Coding
Question: I need help coding an "excision of ureteral polyp." I found one code for the exc... Read more
READER QUESTIONS:
Wait for Official Fee Schedule News
Question: I have the "2007 National Physician fee schedule Relative Value File" loaded on ... Read more
Wait for Official Fee Schedule News
Question: I have the "2007 National Physician fee schedule Relative Value File" loaded on ... Read more
You Be the Coder:
Same-Day OV, Different Diagnoses
Question: One of our urologists saw a patient in the morning for a urethral stricture, and... Read more
Same-Day OV, Different Diagnoses
Question: One of our urologists saw a patient in the morning for a urethral stricture, and... Read more
Are You a Casualty of 3 Common Prostate Brachytherapy Coding Myths? Find Out
Check out these tips before adding 52000 to one more brachytherapy claim Prostate brachy... Read more
Check out these tips before adding 52000 to one more brachytherapy claim Prostate brachy... Read more
Brachytherapy Process Primer
During brachytherapy, a radiation oncologist places low-dose radioactive seeds into a can... Read more
During brachytherapy, a radiation oncologist places low-dose radioactive seeds into a can... Read more
Case Study:
Uncover the Secret of Bladder Neck Contracture Coding
A post-op scenario proves that success lies in the op report details Seeing a postsurgic... Read more
Uncover the Secret of Bladder Neck Contracture Coding
A post-op scenario proves that success lies in the op report details Seeing a postsurgic... Read more
Refrain From Always Turning to 52276
Contracture etiology may lead you to another code Urethral strictures and bladder neck c... Read more
Contracture etiology may lead you to another code Urethral strictures and bladder neck c... Read more
Compliance Alert:
Learn Why You Can't Submit Under Another Provider's ID
There's only one exception to the rule, and we'll show you what it is One of your urolog... Read more
Learn Why You Can't Submit Under Another Provider's ID
There's only one exception to the rule, and we'll show you what it is One of your urolog... Read more
Guest Columnist:
Rhonda Buckholtz, CPC--Avoid 7 Common Medicare Billing Errors -- Here's How
Take a few simple steps to ensure clean claims and proper payments The Administrative Si... Read more
Rhonda Buckholtz, CPC--Avoid 7 Common Medicare Billing Errors -- Here's How
Take a few simple steps to ensure clean claims and proper payments The Administrative Si... Read more
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Simplify Place-of-Service Coding With This List
Fingertip guide to your most common POS eliminates confusion Choosing the correct place-... Read more
Simplify Place-of-Service Coding With This List
Fingertip guide to your most common POS eliminates confusion Choosing the correct place-... Read more
Clip-and-Save Bonus:
Do These Top-10 Denials Look Familiar? Check Your List
Good news: The most common rejection reasons are also some of the easiest to prevent If ... Read more
Do These Top-10 Denials Look Familiar? Check Your List
Good news: The most common rejection reasons are also some of the easiest to prevent If ... Read more
Reader Question:
Don't Count on Exact Wording in Code Descriptors
Question: How should I code the removal of a stent that has migrated into the ureter? ... Read more
Don't Count on Exact Wording in Code Descriptors
Question: How should I code the removal of a stent that has migrated into the ureter? ... Read more
Reader Question:
Choose One Code for Nephrectomy and Transplant
Question: My physician had to do a bilateral nephrectomy because both kidneys were bad, ... Read more
Choose One Code for Nephrectomy and Transplant
Question: My physician had to do a bilateral nephrectomy because both kidneys were bad, ... Read more
Reader Question:
Different Encounter Is Key for 51798 and 76872
Question: I received a denial from one of our carriers that I need help with. I coded th... Read more
Different Encounter Is Key for 51798 and 76872
Question: I received a denial from one of our carriers that I need help with. I coded th... Read more
You Be the Coder:
Inguinal Exploration and Mass Excision
Reviewed on May 27, 2015 Question: My urologist did a right inguinal explorat... Read more
Inguinal Exploration and Mass Excision
Reviewed on May 27, 2015 Question: My urologist did a right inguinal explorat... Read more
Manage Urology Drug Administration Coding With These 3 Expert Tips
If you're not reporting the drug supply, you could be losing more than $200 per treatment... Read more
If you're not reporting the drug supply, you could be losing more than $200 per treatment... Read more
Earn Up to 25 Percent More for Your Urologist's Extra Time
Tip: Sending a detailed cover letter can help you bring in the extra cash Convincing you... Read more
Tip: Sending a detailed cover letter can help you bring in the extra cash Convincing you... Read more
Breaking News:
Brace for a 9.9 Percent Fee Cut, Unless Congress Steps In
Caution: Expect reduction in your E/M code reimbursement as well If the proposed 2008 ph... Read more
Brace for a 9.9 Percent Fee Cut, Unless Congress Steps In
Caution: Expect reduction in your E/M code reimbursement as well If the proposed 2008 ph... Read more
Home In on CMS' 2008 Proposal Details
Tip: PQRI continues for next year, so get busy planning now Take note of several changes... Read more
Tip: PQRI continues for next year, so get busy planning now Take note of several changes... Read more
Guest Columnist:
Linda Eickmann, CPC: E/M Auditing: Make Sure You Give Credit Where Credit Is Due
Be certain you know what to count when reviewing your claims Question: 'What's the fi... Read more
Linda Eickmann, CPC: E/M Auditing: Make Sure You Give Credit Where Credit Is Due
Be certain you know what to count when reviewing your claims Question: 'What's the fi... Read more
Tips From the Experts:
Watch for These 10 Red Flags in Your Chart Audits
Find the trouble signs before they turn into disasters When you're auditing your charts, ... Read more
Watch for These 10 Red Flags in Your Chart Audits
Find the trouble signs before they turn into disasters When you're auditing your charts, ... Read more
Reader Question:
Report 50200 Just Once per Procedure
Question: A physician wanted to know if he could charge multiple units for CPT 50200 . I... Read more
Report 50200 Just Once per Procedure
Question: A physician wanted to know if he could charge multiple units for CPT 50200 . I... Read more
Reader Question:
Expect About $200 for Urgent PC
Question: We are starting to do a procedure in the office for incontinence called Urgent ... Read more
Expect About $200 for Urgent PC
Question: We are starting to do a procedure in the office for incontinence called Urgent ... Read more
Reader Question:
Find New ABN Forms on the CMS Web Site
Question: I've read that there's a new ABN form, but I can't find it anywhere. Where shou... Read more
Find New ABN Forms on the CMS Web Site
Question: I've read that there's a new ABN form, but I can't find it anywhere. Where shou... Read more
Reader Question:
Audit Your Charts Before Authorities Do
Question: Do you have any tips for performing a coding self-audit? Mississippi Subscri... Read more
Audit Your Charts Before Authorities Do
Question: Do you have any tips for performing a coding self-audit? Mississippi Subscri... Read more
You Be the Coder:
Surgical Difficulties Leading to Second Physician
Question: We had a patient come in for cystoscopy with stent removal. He saw Dr. A, who c... Read more
Surgical Difficulties Leading to Second Physician
Question: We had a patient come in for cystoscopy with stent removal. He saw Dr. A, who c... Read more
Follow the Prostatitis Path:
Code Each Service Level Along the Way
Tip: Check for transfer of care before reporting 99241-99245Knowing what not to report is ... Read more
Code Each Service Level Along the Way
Tip: Check for transfer of care before reporting 99241-99245Knowing what not to report is ... Read more
Treatment, Tests Don't Mean You Can't Code a Consult
Bonus: Palmetto GBA gives concrete consult answersWhen your urologist sees a patient at th... Read more
Bonus: Palmetto GBA gives concrete consult answersWhen your urologist sees a patient at th... Read more
CCI 13.2 Update:
Add These 43653/44005 Bundles to Your List of Coding No-No's
The ‘0’ modifier indicator means no exceptions The latest round of Correc... Read more
Add These 43653/44005 Bundles to Your List of Coding No-No's
The ‘0’ modifier indicator means no exceptions The latest round of Correc... Read more
Be Frugal With Modifiers or You May Face an OIG Audit
Myth: Always use 59 to unbundle same-session, different-reason proceduresIf you always app... Read more
Myth: Always use 59 to unbundle same-session, different-reason proceduresIf you always app... Read more
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Keep Consult Requirements Straight With 5 Basics
Miss 1 element, and you'll miss on coding 99241-99255Without a documented reason or a writ... Read more
Keep Consult Requirements Straight With 5 Basics
Miss 1 element, and you'll miss on coding 99241-99255Without a documented reason or a writ... Read more
Avoid a HIPAA Violation--Review the Basics and Stick to Them
Guest Columnist: Suzan Hvizdash, BS, CPC, CPC-EMS, CPC-EDSJust because you're handing out ... Read more
Guest Columnist: Suzan Hvizdash, BS, CPC, CPC-EMS, CPC-EDSJust because you're handing out ... Read more
Expert Advice:
Check Off This List to Prevent HIPAA Violations in Your Office
Spot problem areas and take action to protect yourself and your practiceAs you walk around... Read more
Check Off This List to Prevent HIPAA Violations in Your Office
Spot problem areas and take action to protect yourself and your practiceAs you walk around... Read more
READER QUESTIONS:
Stick With Unlisted for Botox
Question: What code should I use for a Botox injection in the bladder? I have found two di... Read more
Stick With Unlisted for Botox
Question: What code should I use for a Botox injection in the bladder? I have found two di... Read more
READER QUESTIONS:
Check CCI Edits if You Face Denials
Question: I billed CPT 52001 and 52224-51. Medicare paid for 52224 but denied 52001. How ... Read more
Check CCI Edits if You Face Denials
Question: I billed CPT 52001 and 52224-51. Medicare paid for 52224 but denied 52001. How ... Read more
READER QUESTIONS:
Sharing Doesn't Make for Good Consult Coding
Question: I know that a nonphysician practitioner and a urologist can "share" an E/M visit... Read more
Sharing Doesn't Make for Good Consult Coding
Question: I know that a nonphysician practitioner and a urologist can "share" an E/M visit... Read more
READER QUESTIONS:
Determine Stricture Location--Urethral vs. Ureteral
Question: I just read about a case where a urologist placed a stent after dilating the ure... Read more
Determine Stricture Location--Urethral vs. Ureteral
Question: I just read about a case where a urologist placed a stent after dilating the ure... Read more
READER QUESTIONS:
Face-to-Face Is a Must for Medicare
Question: What is the best way to code for a "family consult" when the patient is not pres... Read more
Face-to-Face Is a Must for Medicare
Question: What is the best way to code for a "family consult" when the patient is not pres... Read more
READER QUESTIONS:
Erase PHI Before You Click 'Send'
Question: I sometimes e-mail patient records to consultants or other coders for help on ho... Read more
Erase PHI Before You Click 'Send'
Question: I sometimes e-mail patient records to consultants or other coders for help on ho... Read more
You Be the Coder:
Second TURP During Post-Op Period
Question: My urologist did a TURP for BPH (52601 for 600.01), and then the patient had to ... Read more
Second TURP During Post-Op Period
Question: My urologist did a TURP for BPH (52601 for 600.01), and then the patient had to ... Read more
Solve Your PSA Test Coding Puzzles With These 2 Essential Pieces
Your first step: Differentiate diagnostic tests from screening testsWhen your urologist pe... Read more
Your first step: Differentiate diagnostic tests from screening testsWhen your urologist pe... Read more
Don't Fall Into the Level-3 E/M Coding Rut
E/M codes CPT 99213 and 99214 are very familiar codes for urology coders, and with good r... Read more
E/M codes CPT 99213 and 99214 are very familiar codes for urology coders, and with good r... Read more
ICD-9 Update:
Get Specific With New Female Genital Carcinoma Codes
Starting in October, you'll replace 233.3 with four five-digit codes Good news: U... Read more
Get Specific With New Female Genital Carcinoma Codes
Starting in October, you'll replace 233.3 with four five-digit codes Good news: U... Read more
Quick Quiz:
Wondering if Your NPP Coding Is Up to Snuff? Test Yourself
Take this quiz to see if you should be hitting the NPP coding booksEach time a nonphysicia... Read more
Wondering if Your NPP Coding Is Up to Snuff? Test Yourself
Take this quiz to see if you should be hitting the NPP coding booksEach time a nonphysicia... Read more
Strengthen Your Appeal Letters by Sticking to the Details
Guest Columnist: Erica D. Schwalm, CPC-GSS, CMRSIf your appeal letters do nothing more tha... Read more
Guest Columnist: Erica D. Schwalm, CPC-GSS, CMRSIf your appeal letters do nothing more tha... Read more
READER QUESTIONS:
Unlisted-Procedure Code Is Sometimes the Only Option
Question: How should I report the ablation of a ureteral tumor when the urologist uses an ... Read more
Unlisted-Procedure Code Is Sometimes the Only Option
Question: How should I report the ablation of a ureteral tumor when the urologist uses an ... Read more
READER QUESTIONS:
Remember Modifier 26 for Radiology Procedures
Question: My urologist documented that he performed "adrenal vein sampling." I know it's a... Read more
Remember Modifier 26 for Radiology Procedures
Question: My urologist documented that he performed "adrenal vein sampling." I know it's a... Read more
READER QUESTIONS:
Work Around CCI Edits With Private Payers
Question: I have an operative report that states: "Cystoscopy, fulguration of a 1-cm bladd... Read more
Work Around CCI Edits With Private Payers
Question: I have an operative report that states: "Cystoscopy, fulguration of a 1-cm bladd... Read more
READER QUESTIONS:
Watch for Searchable NPI Database
Question: There's so much information out there about using NPIs, but I haven't been able ... Read more
Watch for Searchable NPI Database
Question: There's so much information out there about using NPIs, but I haven't been able ... Read more
READER QUESTIONS:
Be Cautious Billing Before Credentialing
Question: We have a new urologist in our practice. One of his established patients from hi... Read more
Be Cautious Billing Before Credentialing
Question: We have a new urologist in our practice. One of his established patients from hi... Read more
READER QUESTION:
Avoid Automatic Resends
Question: When we know that the carrier has made a mistake in denying a claim, can I just ... Read more
Avoid Automatic Resends
Question: When we know that the carrier has made a mistake in denying a claim, can I just ... Read more
You Be the Coder:
Laser Treatment of Vesicle Neck Contracture
Question: Which code should I use for holmium laser of a vesicle neck contracture?Alabama ... Read more
Laser Treatment of Vesicle Neck Contracture
Question: Which code should I use for holmium laser of a vesicle neck contracture?Alabama ... Read more
Urologist Left the Adrenal Gland? Don't Rule Out 50230 Yet
Tip: Surgical approach and procedure determines your radical nephrectomy code choiceIf you... Read more
Tip: Surgical approach and procedure determines your radical nephrectomy code choiceIf you... Read more
Weed Through PQRI Confusion With These Expert Tips
Key: Educate your staff and perform a test run soonYour time to prepare for the Physician ... Read more
Key: Educate your staff and perform a test run soonYour time to prepare for the Physician ... Read more
Don't Let Modifier Mix-Ups Ruin Your Discontinued Surgery Pay
Differentiate between modifiers 52 and 53 with these expert tipsWhen your urologist discon... Read more
Differentiate between modifiers 52 and 53 with these expert tipsWhen your urologist discon... Read more
Ensure Contract Negotiation Success With These 3 Key Steps
Clarify fee schedules or risk lost reimbursementReading the fine print doesn't just apply ... Read more
Clarify fee schedules or risk lost reimbursementReading the fine print doesn't just apply ... Read more
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Use This Checklist to Overcome Contract Negotiation Challenges
10 tips can prevent carrier hasslesCarrier contract negotiation is often a long, difficult... Read more
Use This Checklist to Overcome Contract Negotiation Challenges
10 tips can prevent carrier hasslesCarrier contract negotiation is often a long, difficult... Read more
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Find Out Your Rights Before You Sign a Payer's Dotted Line
Ask these questions to get started on your way in contract negotiationsWhen you're thinkin... Read more
Find Out Your Rights Before You Sign a Payer's Dotted Line
Ask these questions to get started on your way in contract negotiationsWhen you're thinkin... Read more
READER QUESTIONS:
CCI Detection Means You Can Report Stenting
Question: A patient had two stones: one in his kidney and one in his ureter. The urologist... Read more
CCI Detection Means You Can Report Stenting
Question: A patient had two stones: one in his kidney and one in his ureter. The urologist... Read more
READER QUESTIONS:
Anesthesia May Determine Consultation Level
Question: My doctor was called in after another doctor had performed a laparoscopic suprac... Read more
Anesthesia May Determine Consultation Level
Question: My doctor was called in after another doctor had performed a laparoscopic suprac... Read more
READER QUESTIONS:
Revise Your Circumcision-Fix Coding
Question: How should I code a circumcision revision the urologist performed on a patient w... Read more
Revise Your Circumcision-Fix Coding
Question: How should I code a circumcision revision the urologist performed on a patient w... Read more
READER QUESTIONS:
Don't Expect to Get Paid on 99050
Question: In the May 2006 Urology Coding Alert, an article addresses using 99050 for after... Read more
Don't Expect to Get Paid on 99050
Question: In the May 2006 Urology Coding Alert, an article addresses using 99050 for after... Read more
READER QUESTIONS:
Determine Sedation Code Based on Number of MDs
Question: The urologists in my office occasionally perform procedures in the office after ... Read more
Determine Sedation Code Based on Number of MDs
Question: The urologists in my office occasionally perform procedures in the office after ... Read more
You Be the Coder:
52276, 52001--To Unbundle or Not to Unbundle?
Question: One of my urologists is going to do a cysto/direct vision internal urethrotomy, ... Read more
52276, 52001--To Unbundle or Not to Unbundle?
Question: One of my urologists is going to do a cysto/direct vision internal urethrotomy, ... Read more
NCCI 13.1 Update:
Rejoice in Retroactive Removal of 52332 Bundling Edits
Bonus: Handle all the latest coding edits with thiscomprehensive rundown Just when you've... Read more
Rejoice in Retroactive Removal of 52332 Bundling Edits
Bonus: Handle all the latest coding edits with thiscomprehensive rundown Just when you've... Read more
NCCI 13.1 Update:
Tackle These Additional Urology Edits With Ease
Tip: You can override most of these edits with a modifier Code 50250 (Ablation, open, ... Read more
Tackle These Additional Urology Edits With Ease
Tip: You can override most of these edits with a modifier Code 50250 (Ablation, open, ... Read more
NCCI 13.1 Update:
Don't Bill 2 Same-Day,
NCCI won't let you now anyway There's really no reason you would ever bill two "new patien... Read more
Don't Bill 2 Same-Day,
NCCI won't let you now anyway There's really no reason you would ever bill two "new patien... Read more
Breaking News:
CMS Extends 1500 Deadline -- Don't Miss These Key Details
Find out how a red arrow on the form can make or break your claims Don't discard your old ... Read more
CMS Extends 1500 Deadline -- Don't Miss These Key Details
Find out how a red arrow on the form can make or break your claims Don't discard your old ... Read more
Banish NPI Hassles With This Expert Advice
Start sharing those NPIs now to avoid a crunch later You have new National Provider Identi... Read more
Start sharing those NPIs now to avoid a crunch later You have new National Provider Identi... Read more
Discover if You Can Capitalize on 1-Year NPI Extension
CMS admits defeat, promises progress on NPI-sharing Good news: You'll have an extra ... Read more
CMS admits defeat, promises progress on NPI-sharing Good news: You'll have an extra ... Read more
Guest Columnist:
Quinten A. Buechner, MS, MDiv, ACS-FP/GI/PEDS, CPC, CCP, CMSCS: Tackle Your NPI Confusion With Expert Answers
Eliminate problems by following a few easy steps The switch to using National Provid... Read more
Quinten A. Buechner, MS, MDiv, ACS-FP/GI/PEDS, CPC, CCP, CMSCS: Tackle Your NPI Confusion With Expert Answers
Eliminate problems by following a few easy steps The switch to using National Provid... Read more
Reader Questions:
Turn to 76872 When Measuring Prostatic Size
Question: Our urology group is doing a prostate volume study before transurethral microwav... Read more
Turn to 76872 When Measuring Prostatic Size
Question: Our urology group is doing a prostate volume study before transurethral microwav... Read more
Reader Questions:
Modifier 26 Ensures Supervision Payment
Question: How should I report a varicocele embolization the urologist performs at the hosp... Read more
Modifier 26 Ensures Supervision Payment
Question: How should I report a varicocele embolization the urologist performs at the hosp... Read more
Reader Questions:
Determine Carrier Regulations for Bilateral Payment
Question: My urologist performed a bilateral trans-scrotal testicular fixation without a t... Read more
Determine Carrier Regulations for Bilateral Payment
Question: My urologist performed a bilateral trans-scrotal testicular fixation without a t... Read more
Reader Questions:
CMS and CPT 'Consult' Criteria Differ
Question: Past Urology Coding Alert articles contain definitions that differ from CPT Cod... Read more
CMS and CPT 'Consult' Criteria Differ
Question: Past Urology Coding Alert articles contain definitions that differ from CPT Cod... Read more
Reader Questions:
Use E/M Code for Patient-Generated Second Opinion
Question: I know that CPT Codes deleted the confirmatory consult codes for billing secon... Read more
Use E/M Code for Patient-Generated Second Opinion
Question: I know that CPT Codes deleted the confirmatory consult codes for billing secon... Read more
You Be the Coder:
Extensive Debridement
Question: My urologist performed an extensive radical debridement of the left anterior abd... Read more
Extensive Debridement
Question: My urologist performed an extensive radical debridement of the left anterior abd... Read more
Regain Control of Your Biofeedback Reimbursement With These 6 Expert Tips
Bonus: Capture unrelated E/M service with modifier 25With only one code to choose from whe... Read more
Bonus: Capture unrelated E/M service with modifier 25With only one code to choose from whe... Read more
Accomplish Your CEU Goals Using Coding Publications You Already Receive
Bonus: This summary can put you one CEU closer to reaching your renewal requirementIf you'... Read more
Bonus: This summary can put you one CEU closer to reaching your renewal requirementIf you'... Read more
Stop Sacrificing Payments Because of SNF Complications
Not knowing which services are covered will cost you time and moneyIf you're not paying at... Read more
Not knowing which services are covered will cost you time and moneyIf you're not paying at... Read more
Expert Answers to Your Top-5 Inpatient E/M Coding Questions
Guest Columnist: Catherine Brink, CMM, CPCYou can set yourself up for clean claims and sto... Read more
Guest Columnist: Catherine Brink, CMM, CPCYou can set yourself up for clean claims and sto... Read more
7 Tips Help Keep Your Inpatient E/M Coding on the Up-and-Up
Medicare overspends millions on upcoded inpatient visitsCarriers are scrutinizing your inp... Read more
Medicare overspends millions on upcoded inpatient visitsCarriers are scrutinizing your inp... Read more
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Tackle Payment Troubles With This Sample SNF Contract
Tip: Provide a copy to the SNF and keep one for your recordsDate: This letter serves to d... Read more
Tackle Payment Troubles With This Sample SNF Contract
Tip: Provide a copy to the SNF and keep one for your recordsDate: This letter serves to d... Read more
READER QUESTIONS:
Extensive Work Warrants 'Complicated' Coding
Question: My urologist inserted a ureteral double J stent and then performed an ESWL for a... Read more
Extensive Work Warrants 'Complicated' Coding
Question: My urologist inserted a ureteral double J stent and then performed an ESWL for a... Read more
READER QUESTIONS:
Include Washing in E/M Service
Question: Following a radical cystectomy performed several months ago, our urologist perfo... Read more
Include Washing in E/M Service
Question: Following a radical cystectomy performed several months ago, our urologist perfo... Read more
READER QUESTIONS:
Finish Failed-Procedure Dx Coding With 998.89
Question: My physician is planning a pubo-vaginal sling on a patient who had one done two ... Read more
Finish Failed-Procedure Dx Coding With 998.89
Question: My physician is planning a pubo-vaginal sling on a patient who had one done two ... Read more
READER QUESTIONS:
Location, Timing Will Affect Instillation Coding
Question: I know that the instillation of mitomycin is bundled into CPT 52235 , but it can... Read more
Location, Timing Will Affect Instillation Coding
Question: I know that the instillation of mitomycin is bundled into CPT 52235 , but it can... Read more
You Be the Coder:
Lithotripsy With Other Procedures
Question: We have a patient with an ileal conduit urinary diversion who has renal stones. ... Read more
Lithotripsy With Other Procedures
Question: We have a patient with an ileal conduit urinary diversion who has renal stones. ... Read more
Safeguard Vasectomy Claims With These Expert Answers to Your Top-3 Coding Questions
Determining eligibility comes before you even start to think about G0117 and G0118 Choosi... Read more
Determining eligibility comes before you even start to think about G0117 and G0118 Choosi... Read more
Overcome Bladder Scan Coding Troubles With 3 Mythbusters
You can bill a distinct E/M visit separate from 51798If you don't know the nuances of blad... Read more
You can bill a distinct E/M visit separate from 51798If you don't know the nuances of blad... Read more
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Quickly Code Each Part of a Vasectomy -- Including Supplies -- With This Step-by-Step Process
Tip: You should separately code semen analysis Follow these four steps to ensure you're ca... Read more
Quickly Code Each Part of a Vasectomy -- Including Supplies -- With This Step-by-Step Process
Tip: You should separately code semen analysis Follow these four steps to ensure you're ca... Read more
Quick Quiz Answers:
Test Your Grasp of New, Updated Urology Codes and Bundles
Quick Quiz Answers: Answer 1: A. Medicare directs coders to report CPT 52204 (Cystou... Read more
Test Your Grasp of New, Updated Urology Codes and Bundles
Quick Quiz Answers: Answer 1: A. Medicare directs coders to report CPT 52204 (Cystou... Read more
Test Yourself:
Can You Choose the Right ICD-9 Code for This Lesion?
Read the documentation and put your diagnosis coding skills to the test Now that you&... Read more
Can You Choose the Right ICD-9 Code for This Lesion?
Read the documentation and put your diagnosis coding skills to the test Now that you&... Read more
Your Physician's Notes Reveal the Correct Diagnosis Codes if You Know Where to Look
If the urologist does not circle a diagnosis, it may be up to you to find one Don&rsq... Read more
If the urologist does not circle a diagnosis, it may be up to you to find one Don&rsq... Read more
When the Superbill Lacks Data, Turn to the Documentation
Carefully read the physician’s notes to extract ICD-9 Codes In a perfect coding... Read more
Carefully read the physician’s notes to extract ICD-9 Codes In a perfect coding... Read more
Urge Carriers to Expand 1500 Form for Multiple Diagnoses
Take advantage of larger space for diagnosis codes in JulyComplex patients require more th... Read more
Take advantage of larger space for diagnosis codes in JulyComplex patients require more th... Read more
Reader Question:
Check NCCI Before Coding Cystoscopies
Question: My urologist performed the following: revision of bladder augmentation, bladder ... Read more
Check NCCI Before Coding Cystoscopies
Question: My urologist performed the following: revision of bladder augmentation, bladder ... Read more
Reader Question:
Keep an Eye on Chronic Conditions
Question: The 1997 audit guidelines state that I can reach an extended history by updating... Read more
Keep an Eye on Chronic Conditions
Question: The 1997 audit guidelines state that I can reach an extended history by updating... Read more
Reader Question:
Include Dilation Procedure in 50081 Coding
Question: The urologist performed a right percutaneous nephrostolithotomy for a stone grea... Read more
Include Dilation Procedure in 50081 Coding
Question: The urologist performed a right percutaneous nephrostolithotomy for a stone grea... Read more
Reader Question:
Coding All 99213s Isn't Playing It Safe
Question: I heard that if I report mostly CPT 99213 s and keep my evaluation and man... Read more
Coding All 99213s Isn't Playing It Safe
Question: I heard that if I report mostly CPT 99213 s and keep my evaluation and man... Read more
You Be The Coder:
Calyceal Diverticulum Treatment
Question: The doctor has noted that he is going to treat a patient using the ureteroscope ... Read more
Calyceal Diverticulum Treatment
Question: The doctor has noted that he is going to treat a patient using the ureteroscope ... Read more
NCCI 13.0 UPDATE:
Tread Carefully With New Codes -- Thanks to a Slew of New Bundles
Tip: Check the edits before separately reporting 69990 As soon as CPT Codes adds new c... Read more
Tread Carefully With New Codes -- Thanks to a Slew of New Bundles
Tip: Check the edits before separately reporting 69990 As soon as CPT Codes adds new c... Read more
NCCI 13.0 UPDATE:
Revise Your Vaginal Graft Coding to Accommodate New Bundles
Find out which edits you can't break with modifier 59 If you code for either a urologist ... Read more
Revise Your Vaginal Graft Coding to Accommodate New Bundles
Find out which edits you can't break with modifier 59 If you code for either a urologist ... Read more
Zero In on These Additional Edits
• Pelvic exenteration code 51597 now includes new 2007 colectomy codes CPT 44157 a... Read more
• Pelvic exenteration code 51597 now includes new 2007 colectomy codes CPT 44157 a... Read more
PAYMENT NEWS:
Breathe Easier: Congress Freezes CF, Thwarts Pay Cuts
You should expect stable payments in 2008, too Good news: Congress acted at the very last ... Read more
Breathe Easier: Congress Freezes CF, Thwarts Pay Cuts
You should expect stable payments in 2008, too Good news: Congress acted at the very last ... Read more
Pay Close Attention to Place of Service or Risk Denials
Don't confuse nursing facilities and skilled nursing facilities Every claim requires a pl... Read more
Don't confuse nursing facilities and skilled nursing facilities Every claim requires a pl... Read more
CLIP & SAVE:
Simplify Your Place-of-Service Coding With This Cheat Sheet
Fingertip guide to 5 POS codes eliminates confusion Choosing the correct place-of-service ... Read more
Simplify Your Place-of-Service Coding With This Cheat Sheet
Fingertip guide to 5 POS codes eliminates confusion Choosing the correct place-of-service ... Read more
Translating Urologic Acronyms Is Your Key to Deciphering Operative Reports
Use these tips to make turning abbreviations into codes much easier Do you know your KUB f... Read more
Use these tips to make turning abbreviations into codes much easier Do you know your KUB f... Read more
Let This Tool Guide You When You Encounter Acronyms
If your surgeon's notes puzzle you, check this chart to decipher them We polled our expert... Read more
If your surgeon's notes puzzle you, check this chart to decipher them We polled our expert... Read more
READER QUESTION:
Remember Cysto Code With Barbotage
Question: My urologist performed a bladder barbotage. How should I report this procedure?N... Read more
Remember Cysto Code With Barbotage
Question: My urologist performed a bladder barbotage. How should I report this procedure?N... Read more
READER QUESTION:
Capture Self-Pays With NEMBs
Question: I keep hearing the term NEMB, but I'm not sure what exactly it is. I know that i... Read more
Capture Self-Pays With NEMBs
Question: I keep hearing the term NEMB, but I'm not sure what exactly it is. I know that i... Read more
READER QUESTION:
Eliminating All Complication Coding Costs You
Question: I have two procedures that my urologist performed on the same patient within nin... Read more
Eliminating All Complication Coding Costs You
Question: I have two procedures that my urologist performed on the same patient within nin... Read more
YOU BE THE CODER:
Coding Surgical Injury Repairs
Question: During the course of a laparoscopic assisted vaginal hysterectomy, an ob-gyn lac... Read more
Coding Surgical Injury Repairs
Question: During the course of a laparoscopic assisted vaginal hysterectomy, an ob-gyn lac... Read more
CPT 2007 UPDATES:
Go With the Flow to Determine 'New' vs. 'Established' Patient Status
Even if the patient has been to your office before, he might be new Proper coding for var... Read more
Go With the Flow to Determine 'New' vs. 'Established' Patient Status
Even if the patient has been to your office before, he might be new Proper coding for var... Read more
CLIP & SAVE:
Here's the Quick Way to Find Out if the Patient Is New
Answer the new-or-established question correctly every time with this tool Take the A... Read more
Here's the Quick Way to Find Out if the Patient Is New
Answer the new-or-established question correctly every time with this tool Take the A... Read more
NEWS YOU CAN USE:
Don't Fret Over Upcoming Medically Unlikely Edits
Experts say the edits may help, rather than hinder, your coding Prepare yourself, because ... Read more
Don't Fret Over Upcoming Medically Unlikely Edits
Experts say the edits may help, rather than hinder, your coding Prepare yourself, because ... Read more
QUICK QUIZ:
How Much Do You Know About V Codes? Find Out Fast
Test your diagnosis coding knowledge with these 4 questions If you think V codes are only ... Read more
How Much Do You Know About V Codes? Find Out Fast
Test your diagnosis coding knowledge with these 4 questions If you think V codes are only ... Read more
Save Time and Trouble by Using ABN Correctly
Learn the basics of this common document An advance beneficiary notice is a written n... Read more
Learn the basics of this common document An advance beneficiary notice is a written n... Read more
Eliminate Your No-Show Headaches With These Strategies
Tip: Make sure your carriers don't frown on payment penaltiesEvery office has them --... Read more
Tip: Make sure your carriers don't frown on payment penaltiesEvery office has them --... Read more
No-Show Charge Is a No-No Without Patient Notification
Most offices give patients 1 'free' no-show When a patient does not show up for a schedule... Read more
Most offices give patients 1 'free' no-show When a patient does not show up for a schedule... Read more
Let Patients Know Your No-Show Policy Up-Front With These Tools
Use a series of letters to explain the consequences of missed appointments Make all of you... Read more
Use a series of letters to explain the consequences of missed appointments Make all of you... Read more
READER QUESTION:
Check Planning for Self-Cath Training
Question: If a patient comes to the office following a TURP and the nurse practitioner doe... Read more
Check Planning for Self-Cath Training
Question: If a patient comes to the office following a TURP and the nurse practitioner doe... Read more
READER QUESTION:
Choose Removal Code Based on Payer
Question: I'm confused about how to report removal of multiple bladder tumors. Would you e... Read more
Choose Removal Code Based on Payer
Question: I'm confused about how to report removal of multiple bladder tumors. Would you e... Read more
YOU BE THE CODER:
Hospital Stay After I&D
Question: A patient with a penile abscess came into our office. The urologist did I&D ... Read more
Hospital Stay After I&D
Question: A patient with a penile abscess came into our office. The urologist did I&D ... Read more