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Urology Coding Alert
Urology Coding Alert
Urology Coding Alert - 2021; Volume 23, Number 12
Tips:
4 Tips Help Navigate Your Testosterone and Estradiol Pellet Insertion Coding
Hint: Remember to include J3490 or S0189 on your claim. If your urologist performs in-off...
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Quiz:
A Quick Quiz Answers All Your Pressing Hydrocele Questions
Hint: Include the infectious agent with code N43.1. When your urologist diagnoses a hydro...
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CDI:
Establish an Effective CDI Program With Expert Knowledge
Remember: Involve providers from beginning to end. At the 2021 RISKCON session, “Estab...
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Reader Questions:
Delve Into UroLift® Case
Question: The patient had a bladder neck obstruction. My urologist placed the scope in the...
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Reader Questions:
Heed These Vasectomy Guidelines
Question: Can you please tell me which ICD-10-CM code supports CPT® code 55250 (Vasectomy...
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Reader Questions:
Focus in on ESWL, Stent Scenario
Question: My physician placed a stent prior to performing extracorporeal shock wave lithot...
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You Be the Coder:
Learn How to Handle Urethrotomy With FBR
Question: My urologist performed attempted removal of a urethral foreign body. He performe...
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Urology Coding Alert - 2021; Volume 23, Number 11
CPT®:
Follow 4 Simple Steps to Conquer UroLift® System Claims in Your Urology Practice
Hint: You should report +52442 with 52441 for each additional UroLift® implant. If your ...
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Quiz:
Test Your Hydronephrosis Smarts With a Quick Quiz
Report N13.6 for hydronephrosis with an infection. If your urologist treats patients for...
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Audits:
Handle Common Audit Issues by Developing Robust Audit Program
Hint: See which barriers you must overcome. During the 2021 RISKCON session, “Effecti...
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Reader Questions:
Decipher This Repair Scenario
Question: The patient had distal left prepuce 1.5 cm dilated penile thrombosed skin vein w...
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Reader Questions:
Consult Surgeon for Lesion Size
Question: According to the medical documentation, after verbal informed consent was obtain...
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Reader Questions:
Don’t Forget Modifier on This TUR Claim
Question: My urologist resected all visible bladder tumors across the posterior wall of th...
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Reader Questions:
Consider This Re-Admit Scenario With Care
Question: My urologist re-admitted a patient who had a suture of a urethral wound, 53502 (...
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Reader Questions:
Get More Information to Properly Report Case
Question: My urologist resected all visible bladder tumors across the posterior wall of th...
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You Be the Coder:
Check Payers for Modifier Preference
Question: I am new to urology coding, and I'm not sure if we are lacking the right documen...
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Urology Coding Alert - 2021; Volume 23, Number 10
CPT® 2022:
Sort Through Adjustable Balloon Continence Device and Hypospadias Changes Before Jan. 1
Hint: You will see new code 53451 in 2022. When CPT® 2022 becomes effective on Jan. 1, 2...
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Quiz:
4 Crucial Questions Answer Your Most Common PSA Conundrums
Screening PSAs are only covered once a year. Your urologist probably performs multiple pr...
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Audits:
Learn How to Perform Successful Internal Billing Audits in Your Practice
When you run data reports, look for specific information. At the 2021 HEALTHCON session �...
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You Be the Coder:
Use Unlisted Code in This Instance
Question: The patient is a 12-year-old boy with a history of a foreign body on the penis. ...
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Reader Questions:
Rebill With Proper Codes
Question: Within the past few months, on two occasions my billing department submitted cla...
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Reader Questions:
Pinpoint Right Code for InterStim® Procedure
Question: I am still new to urology coding. How would you code an InterStim® lead and gen...
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Reader Questions:
Focus on Correct Option for Bladder Neck Incision
Question: Would an incision of a bladder neck contracture be coded as 52276 or 52214? Acco...
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Urology Coding Alert - 2021; Volume 23, Number 9
ICD-10-CM Updates:
Add to Your Polyuria, COVID-19, and Cannabis Comprehension With These ICD-10 Revisions
Hint: You will get a new code for nocturnal polyuria. The Centers for Medicare & Medi...
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CPT®:
Take the Mystery Our of Adrenalectomy Coding by Following These 3 Steps
For an open approach, you should report code 60540. When you code for an adrenalectomy, ...
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Communication:
Foster Healthy Communication in Your Urology Office With This Expert Advice
Hint: Become an active listener. Recently at the 2021 HEALTHCON session “What's In a Wo...
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You Be the Coder:
Solve Tricky Stone Removal Case
Question: The urologist removed a left ureteral stone with semi-rigid ureteroscopy. He als...
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Reader Questions:
Decipher Tricky Pessary and Estring® Scenario
Question: For a Medicare patient, if my urologist fits/inserts a pessary, I should report ...
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Reader Questions:
Mind POS for Codes
Question: Can a physician report the following CPT® codes: 52352, 52353, 52356, and 52648...
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Reader Questions:
Understand How Balance Billing Works
Question: What is going on with balance billing? Patients are constantly worried that our ...
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Urology Coding Alert - 2021; Volume 23, Number 8
CPT®:
Consider These 4 Tips to Report Flawless Penile Prosthesis Claims in Your Urology Practice
Hint: Make sure you know whether a non-inflatable or inflatable prosthesis was inserted. ...
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ICD-10-CM:
Handy Rules Boost Neurogenic Bladder ICD-10-CM Reporting Skills
Hint: Neurogenic bladder is the same condition as neuropathic bladder. Reporting diagno...
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Quiz:
7 Questions Test Your Medicare Provider Signature Smarts
Remember: You should only use stamped signature for special case. In your urology practi...
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You Be the Coder:
Report E/M Service in This Case
Question: My physician initially attempted to pass a catheter using tactile guidance but c...
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Reader Questions:
Nurse Can Perform These Services
Question: Can codes 51700 (Bladder irrigation, simple, lavage and/or instillation) and 517...
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Reader Questions:
Report 54408 Only Once
Question: My physician had to re-route the tubing of a penile prosthesis. He did not repla...
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Reader Questions:
Solve This Debridement Conundrum
Question: On the inferior aspect of the scrotum and midline, there was roughly a 4.5 x 3 c...
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Reader Questions:
Report Appropriate Codes for an Illeoscopy, Double Stent Exchange
Question: My urologist performed surgery for an exchange of a double-J stent. This patient...
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Reader Questions:
Learn POS Surgeon Codes
Question: Could you please clarify what the POS codes are that surgeons might use and how ...
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Reader Questions:
Append Modifier 62 Under These Circumstances
Question: I'm new to coding. When should I append modifier 62? Wisconsin Subscriber Ans...
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Reader Questions:
Never Report Duplicate Claims
Question: We have several claims that our payer is taking more than 30 days to process or ...
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Urology Coding Alert - 2021; Volume 23, Number 7
Pediatric Urology:
Check Medical Documentation for Number of Stages, Type of Repair When Reporting Hypospadias Procedures
Hint: Differentiate between initial repair versus repair of complication. If your urologi...
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FAQs:
5 FAQs Solve Your Most Pressing Urethral Stricture Coding Conundrums
Remember: You should report N35.028 for females only. Reporting ICD-10-CM codes can be ve...
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Compliance:
Follow 5 Tips to Create Effective Compliance Policies in Your Practice
Don't forget: Strive to build a positive culture of compliance. Recently, at the 2021 HEA...
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Reader Questions:
Mind Global Period With Voiding Trial
Question: If my physician performs a voiding trial and an office visit seven days after a ...
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Reader Questions:
Decipher This Ureteroscopy Scenario
Question: My physician performed removal of a nephrostomy tube, an antegrade ureteroscopy ...
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Reader Questions:
Always Check NCCI Edits
Question: After informed consent, my physician inspected the meatus and phallus. At this t...
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Reader Questions:
Solve Ureteroscopy, Cystoscopy Puzzle
Question: My urologist performed a right antegrade flexible ureteroscopy, cystoscopy with ...
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Reader Questions:
Only Report What’s Documented
Question: If the documentation just stated that my urologist inserted a Coude catheter, ca...
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Reader Questions:
See What OIG Focuses on
Question: Does the Department of Health and Human Services Office of Inspector General (OI...
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Reader Questions:
Make Sure to Append Modifier 22 Here
Question: My physician performed a robotic-assisted laparoscopic right partial nephrectomy...
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You Be the Coder:
Settle This Cystourethroscopy Debate With Ease
Question: My urologist prepped and draped the patient in a normal sterile fashion. He inse...
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Urology Coding Alert - 2021; Volume 23, Number 6
CPT®:
Remember to Report Associated Imaging and Other Related Procedures During PCNL
Hint: The work for code 50432 already includes a nephrostogram. If a patient has kidney o...
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Quiz:
5 Questions Clear Up Your CKD ICD-10-CM Coding Challenges
Report N18.2 for stage 2 CKD. If your physician treats cases of chronic kidney disease ...
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NCCI Basics:
Follow Handy Primer to Conquer NCCI PTP Edits in Your Urology Practice
Hint: Be very careful when using a modifier to break an edit. Anytime you submit claims ...
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Reader Questions:
Heed TURP Advice
Question: I have a patient that had Aquablation® done (0421T), and the following day the ...
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Reader Questions:
Check Medical Documentation for Biopsy Details
Question: My surgeon performed a testicle biopsy, frozen section intraoperative. The resul...
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Reader Questions:
Treat Unprocessable Claims This Way
Question: We received an “unprocessable” claim from our Medicare administrative contra...
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Reader Questions:
Report Multiple Codes on This Claim
Question: The physician inserted a transrectal ultrasound (US), and the prostate was measu...
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Reader Questions:
Decipher Challenging Cystourethroscopy Scenario
Question: My physician carried out a flexible cystoscopy. The anterior and posterior ureth...
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You Be the Coder:
Puzzle out Correct Modifier to Break NCCI Edit
Question: I'm having a difficult time understanding the NCCI edits between codes 52346 and...
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Urology Coding Alert - 2021; Volume 23, Number 5
Case Studies:
Code Carefully for Modifier 22 Reporting for Abdominal Adhesions
Apply this practical real-world scenario into your day-to-day coding. Modifier 22 (Increa...
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ICD-10-CM Coding:
Ensure Compliant ICD-10-CM Coding With These Helpful Tips
When in doubt, always query your providers. Continuing your evolution as an ICD-10-CM c...
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Modifiers:
Follow This Advice for Smooth Modifier 25 Sailing
Stick to the same script despite new 2021 E/M guidance. Knowing when, or even if, you ca...
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Reader Questions:
Check Coding Guidance for Bilateral FNA Biopsy Services
Question: Our provider performed a bilateral percutaneous renal needle biopsy of both kidn...
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Reader Questions:
Stay Up-to-Date on ICD-10-CM Guidelines for CKD
Question: I'm confused by the new ICD-10 codes N18.31 and N18.32. I don't see anything in ...
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Reader Questions:
Adhere to CPT® Advice for MDM Bullet Point Reporting
Question: For medical decision making (MDM) coding, should you count the order and review ...
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Reader Questions:
Bank on These ABN Tips for Smooth Claims Processing
Question: Can you offer any guidance on how to properly submit advanced beneficiary notice...
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Reader Questions:
Compare Contrast These Inpatient Care E/M Services
Question: When Should I Use 99221-99223 or 99234-99236 for inpatient care? Texas Subscr...
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You Be the Coder:
Heed This Advice When Submitting NCCI-Bundled Comparison Codes
Question: Our provider performed a laparoscopic excision of an intra-abdominal secondary m...
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Urology Coding Alert - 2021; Volume 23, Number 4
Operative Reports:
Convert This Cystoscope Report into Coder-Speak Using Battle-Tested Techniques
Rely on your knowledge of anatomy so nothing gets lost in translation. If detailed urolog...
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Virtual Check-Ins:
Clear Up Virtual Check-in Coding Confusion With This Handy Guide
Stick to one set of codes for reporting until the PHE ends. Even for those who did their ...
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Modifiers:
Consider Key Guidance on Modifier 24 Use With Urological Examples
See what role, if any, 2021 office/outpatient E/M changes may play in your coding. Report...
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Reader Questions:
Consider New MDM Guidance on Prior Test Results
Question: If a provider is billing based on medical decision making (MDM), not on time, ca...
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Reader Questions:
Factor in Key Details for Proper Modifier 78 Assessment
Question: I performed a penile implant revision several weeks ago due to mechanical malfun...
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Reader Questions:
Check CMS Guidance on Inpatient Telehealth Services
Question: Can we report inpatient telehealth evaluation and management (E/M) services to M...
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You Be the Coder:
Decipher Nephrostomy Exchange Verbiage in Op Report
Question: I'm working on an operative report that involves a laser ablation of ureteral ca...
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Urology Coding Alert - 2021; Volume 23, Number 3
CPT® Coding:
Make Coding, Anatomical Distinctions Between Prostatic Laser Procedures
Take the help of a few key authoritative sources along the way. Prostate coagulation, vap...
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E/M 2021:
Highlight Fundamental Differences Between 2 New Prolonged Services Codes
See why CMS chose to adopt a new code in lieu of the existing +99417. Over the course of...
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Evaluation and Management:
Get Answers to Your Most Pressing FAQs on Inpatient E/M Services
Break down the key features of each respective code range. Hospital-based evaluation and...
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Reader Questions:
Confirm IV Contrast Administration for 74177
Question: How do I code for a patient who received an in-office computed tomography (CT) s...
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Reader Questions:
Use Modifier 53 When Health Is on The Line
Question: A patient opted against moderate sedation during a vasectomy, and the urologist ...
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Reader Questions:
Incorporate Op Note Details Into Final Diagnosis
Question: Our surgeon took a bladder biopsy using a cystoscope and in the op report descri...
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You Be the Coder:
Tackle This NCCI Edit Versus Authoritative Guidance Dilemma
Question: The provider performs a transrectal ultrasound (TRUS) in order to guide the inse...
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Urology Coding Alert - 2021; Volume 23, Number 2
Final Rule:
Outline Crucial 2021 MPFS Final Rule Changes for Urology
Look beyond E/M to get the most out of the final rule. The 2021 Medicare Physician Fee S...
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Policy Changes:
See Impact of COVID-19 Relief Bill on Bottom Line & More
Rest easy after seeing this new code indefinitely suspended. With the long-anticipated ...
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Telehealth:
Ensure Compliant Telehealth Billing Through New PREP Act Amendment
Use these tips to avoid becoming an error rate statistic. Keeping track of the rules is i...
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Reader Questions:
Consider Washing for Cytology Synonymous with Biopsy
Question: I'm working on a surgical report that involves a right ureteroscopy, which I kno...
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Reader Questions:
Check ICD-10-CM Guidelines for Adverse Prescription Reaction Dx
Question: I'm working on an office visit for a patient previously treated with antibi...
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Reader Questions:
Know These Key Criteria for Consultation Coding
Question: Our physician offered consultation services to a patient who was in treatment wi...
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You Be the Coder:
Let Code Description Lead the Way for Unilateral Vasectomies
Question: I'm coding a procedure for a patient who received an in-office vasectomy. The ur...
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Urology Coding Alert - 2021; Volume 23, Number 1
Guidelines:
Get Key Guidance on Balloon Continence Device Placement Procedures
Plus, see how to code for urinary diversion complications and use modifier 22 correctly. ...
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ICD-10-CM Coding:
Test Your Catheter Complication Competence With 2 Diagnostic Examples
See how the correct choice hinges on your knowledge of anatomy and terminology. Procedure...
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Strengthen Your Office/Outpatient MDM Coding With Some Essential Elements
Fire on all cylinders as you shift to the 2021 E/M office/outpatient guidelines. As the...
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Reader Questions:
Home in on Time, Method for In-Person Telehealth Follow-Up Visits
Question: If a visit starts as an audio-only telehealth visit and the patient then comes t...
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Reader Questions:
Check for RS&I Before Reporting 74420 With 52005
Question: Our urologist inserted a Rutner catheter into the left ureteral orifice and inst...
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Reader Questions:
Shy Away from A64 Without Confirmed STI Diagnosis
Question: Our provider wants to report code A64 when they test a patient for a sexually t...
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You Be the Coder:
Get to the Bottom of This Ureteral Stone Lithotripsy Scenario
Question: A patient with bilateral ureter stones underwent a cystoscopy and bilateral plac...
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