Urology Coding Alert

In-office Testing:
Pinpoint Accurate Urodynamics Codes Based on Key Documentation Terms
Plus: Discover when reporting a separate E/M is possible. When patients present with urin... Read more
ICD-10-CM 2023:
Unlock SDoH Coding Success With These 6 FAQs
Look beyond the codes to the guidelines for all the info you need. On October 1, more t... Read more
News You Can Use:
Get the Details on Medicare’s 1-Year Split/Shared Policy Implementation Delay
You still have time to send feedback that could affect final changes. In the article, “... Read more
Reader Questions:
Always Stress Documentation Requirements
Question: My provider looked to another provider for their opinion on one of our pat... Read more
Reader Questions:
Use Caution on Post-Procedure Cath Removal Coding
Question: The NCCI Policy Manual, Chapter XIII, Category III Codes makes the followin... Read more
Reader Questions:
Don’t Miss on Record Reviews
Question: How concerned should we be about medical record reviews by the Centers for ... Read more
You Be the Coder:
Skip Coding Repair of Injuries Your Provider Caused
Question: My urologist states that a patient was scheduled for a penile prosthesis. H... Read more
CPT® 2023 Changes:
Get the Scoop on 2023 CPT® Code Changes for Prostatectomies, Ablations, and More
Skipping over temporary Category III code changes will cost you. While the biggest CPT® ... Read more
CPT® 2023 Changes:
Get Specific With 12 New Hernia Repair Codes
Get Specific With 12 New Hernia Repair Codes Ensure your provider documents recurrence, s... Read more
E/M 2023:
Apply New MDM, Time Rules to Your 2023 Inpatient and Observation Coding
Remove 99217 and others from your coding toolbox. By now you know that Jan. 1, 2023 is go... Read more
Reader Questions:
Report Recurrent UTIs With Caution
Question: A patient has a recurrent urinary tract infection. The diagnoses given are N30.2... Read more
Reader Questions:
Watch for Location With Stent Insertions
Question: My doctor performed a cystourethroscopy, with lithotripsy including insertion of... Read more
Reader Questions:
Clearly Define Medical Necessity
Question: My provider said that as long as we include a diagnosis code for a condition, th... Read more
You Be the Coder:
Figure Out This Modifier Conundrum
`Question: The patient is in the post-op period from having a transurethral resection of t... Read more
CPT® 2023 Changes:
Prepare Now for PCNL Code, Pay Changes Coming Your Way in January
Stop reporting separate imaging guidance next year. If your urologist uses percutaneous n... Read more
MPFS 2023 News:
Brace for Reimbursement Changes Next Year, Thanks to CF Reduction
Physician associations are fighting back during the comment period. ‘Tis the season ... Read more
MPFS 2023 News:
Home In on 3 Additional Proposed 2023 Changes
The 2023 proposed rule brings some good news and some possible bad news for urology practi... Read more
Reader Questions:
Learn How to Handle Removal of Intestinal Contents From Bladder
Question: According to the documentation, my urologist performed a cystoscopy. They d... Read more
Reader Questions:
Fight for Vasectomy Reimbursement
Question: My urologist made a low inguinal incision to the top of the left hemiscrotu... Read more
Reader Questions:
Report Correct TURBT Option
Question: My surgeon performed a transurethral resection of bladder tumor (TURBT). Th... Read more
Reader Questions:
Look to MPFS to Find Global Days
Question: Many times we need to know the global days of a procedure to help us decide... Read more
You Be the Coder:
Decipher This Bladder Instillation Situation
Question: My urologist placed a 16-French foley catheter without any issues. The pati... Read more
CPT®:
Do You Know the Difference Between Reporting 55600 and 55650? Find Out
Remember: If your provider performs the procedure bilaterally, append a modifier. When yo... Read more
ICD-10-CM:
Answer 4 Questions to Solidify Neurogenic Bladder Reporting
Hint: “Neuropathic bladder” is the same condition as “neurogenic bladder.” When y... Read more
E/M 2023:
Here’s How to Effectively Use New Office/Outpatient Consultation CPT® Guidelines
Hint: Code 99241 will be deleted in 2023. In 2023, you will see several updates to the CP... Read more
Reader Questions:
Rely on Testicular Torsion Option
Question: A patient came in with testicular torsion of the left testicle. My physicia... Read more
Reader Questions:
Turn to HIPAA Resources
Question: We've been experiencing an increase in phishing and are aware of reports o... Read more
Reader Questions:
Understand What French Whistle Tip Ureteral Stents Are
Question: My physician says he put in ureteral stents for another physician during a ... Read more
Reader Questions:
Apply CMS Acronym Glossary
Question: We have new staff in our office who are having a hard time maneuvering the ... Read more
Reader Questions:
Report Unlisted Code in This Case
Question: We have been billing for Penuma® penile implants and removals with 55899. ... Read more
You Be the Coder:
Solve This I&D of Scrotal Abscess, Placement of VAC Dressing Conundrum
Question: The patient had a scrotal abscess. My urologist performed incision and drai... Read more
ICD-10-CM 2023:
Prep for New 2023 Nephropathy, Endometriosis of Bladder and Ureter Diagnoses
Hint: Pay attention to “Code also notes.” The Centers for Medicare & Medicaid Ser... Read more
CPT®:
Navigate Circumcision Reporting With 3 Handy Tips
Never append modifier 63 to 54160. When your urologist performs a circumcision, you must ... Read more
Billing:
Follow Expert Advice to Become a Pro at Negotiating Payer Contracts
Remember: Never give up. Payer contracts may not be a topic you want to think about, but... Read more
Reader Questions:
Check Payer Policies for Modifier Use
Question: Our payers in upstate New York deny urinalysis and electrocardiograms (EKGs... Read more
Reader Questions:
Differentiate Between Bladder Lesion Sizes
Question: If a “small” lesion is 0.5-2.0 cm, and a “medium” lesion is 2.0-5.0... Read more
Reader Questions:
Delve Into This Bladder Tumor Scar Situation
Question: This patient is at high risk for stage 1 urothelial cell carcinoma and is h... Read more
Reader Questions:
Figure Out These Stone Procedures
Question: My physician insists that you can charge 52356 for lasering stone in the ri... Read more
Reader Questions:
Pinpoint Pre-Op Ureteral Stent Placement Diagnosis
Question: My physicians frequently get asked to place stents for ureteral identifica... Read more
You Be the Coder:
Observe Correct Coding for DVIU Scenario
Question: The patient has had a radical prostatectomy, and the previous op note state... Read more
CPT®:
4 Handy Tips Guide Your Urinary Diversion Coding Choices
Hint: 51595 includes a pelvic lymphadenectomy. In some cases, your urologist may perform ... Read more
ICD-10-CM:
Answer FAQs to Solve all Your Interstitial Cystitis Coding Problems
Remember to report additional codes. When a patient has interstitial cystitis, you must ... Read more
Modifiers:
Conquer Most Commonly Misused Modifiers With This Expert Advice
Hint: Modifier 58 is for staged procedures. If you've ever wondered how to appropriately ... Read more
Reader Questions:
Focus on DVIU Reporting
Question: The patient has had a radical prostatectomy, and the previous op note state... Read more
Reader Questions:
Choose Appropriate Ureteroscopy Code
Question: Which code should I report for ureteroscopic endopyelotomy? I am debating b... Read more
Reader Questions:
Conquer Ileal Conduit Catheter Replacement Case
Question: The urologist exposed the area of the ileal conduit ostomy by removing the ... Read more
Reader Questions:
How Do You Calculate Price of Unlisted Codes?
Question: Recently one of my physicians performed a lap vesicovaginal fistula repair.... Read more
You Be the Coder:
Puzzle Out Numerous Laparoscopic Nephrectomy Codes
Question: The patient was placed in the prone position, and my urologist prepared the... Read more
CPT®:
Take 3 Steps to Steer Clear of Bladder Cath Coding Pitfalls
Learn when to report P9612 versus 51701. Sometimes your urologist may need to insert a n... Read more
ICD-10-CM:
Grasp Handy Tips to Master UTI ICD-10-CM Coding
For patients under 28 days of age with a UTI, report P39.3. Reporting the correct code fo... Read more
Billing:
Duplicate Claims Can Delay Payments, Identify You As Abusive Biller
Don't just resubmit to correct a denial. Submitting duplicate claims is a big mistake yo... Read more
Reader Questions:
Puzzle Out This Closure Problem
Question: The patient had Fournier's gangrene wounds. After informed consent was sig... Read more
Reader Questions:
Delve Into This Cystourethroscopy Scenario
Question: Once the patient was under anesthesia, my urologist inserted the tip of a f... Read more
Reader Questions:
Observe Which Codes to Report for Video Urodynamic Tests
Question: I did some research about video urodynamic tests, and I see that they combi... Read more
Reader Questions:
Shore Up Your HIPAA Compliance
Question: At our practice, we take HIPAA compliance very seriously. In fact, we regul... Read more
You Be the Coder:
Solve Bladder Neck Contracture Conundrum
Question: According to the documentation, the urologist placed a direct visual intern... Read more
CPT®:
Demystify Kidney Transplant Coding With This Handy Guide
Report recipient nephrectomy with 50340. Combing through the numerous kidney transplant C... Read more
Quiz:
5 Questions Perfect Your Erectile Dysfunction ICD-10-CM Coding
Report F52.21 for ED due to a mental disturbance. Coding for erectile dysfunction (ED) c... Read more
Communication:
Instill Excellent Communication Skills in Your Practice With 3 Tips
Hint: Make sure to listen carefully. If you've ever wanted to be a better communicator in... Read more
Reader Questions:
Puzzle Out This Cysto Scenario
Question: The patient had papillary changes of approximately 1 cm to area lateral to left ... Read more
Reader Questions:
Follow This ICD-10-CM Coding Advice
Question: When preparing a claim, should you enter the diagnosis code only for the conditi... Read more
Reader Questions:
Conquer This Ultrasound Claim
Question: The patient underwent transrectal ultrasound imaging in both the transverse and ... Read more
Reader Questions:
Solve MDM Conundrum
Question: If a patient has only one chronic problem that is not worsening but is not respo... Read more
Reader Questions:
Choose Between 2 Litholapaxy Codes
Question: My urologist performed a cystolitholapaxy. Which CPT® code should I report for ... Read more
You Be the Coder:
Mind Whether Urologist Performed Stone Fragmentation
Question: My physician removed a stone percutaneously via access performed by radiology. M... Read more
CPT®:
3 Steps Pave the Way to Clean Urodynamics Claims
Code 51725 is the only simple CMG test option. When your urologist performs urodynamic te... Read more
Tips:
Follow 4 Handy Tips to Easily Navigate Hypospadias Repair Claims
Hint: Report Q54.0 for balanic hypospadias. You may find reporting hypospadias repair cha... Read more
Physician Engagement:
Pinpoint How to Encourage Physician Engagement in Your Urology Practice
Hint: Some of your physicians may be overwhelmed. If you've ever struggled with engaging ... Read more
Reader Questions:
Remember to Report Z-Code in This Case
Question: The patient was brought into the operating room and placed on operating ta... Read more
Reader Questions:
Ace Cystourethroscopy Scenario
Question: My provider said in the op note that they aspirated out a portion of the bl... Read more
Reader Questions:
Demystify This SP Tube Polyp Case
Question: The patient was prepped and draped in standard manner using monitored anest... Read more
You Be the Coder:
Check Lesion Diameter to Choose Correct Code
Question: My urologist made an elliptical excision, in total length of 5 cm, around t... Read more
CPT®:
Identify Simple Versus Radical Approach to Report Correct Orchiectomy Codes on Your Claim
Submit 54690 for a laparoscopic orchiectomy. When your urologist performs an orchiectomy,... Read more
ICD-10-CM:
5 FAQs Solve All of Your Prostatitis ICD-10-CM Coding Conundrums
If the prostatitis is bacterial, report an additional code from B95- B97. Your practice ... Read more
Risk Adjustment:
3 Steps Help You Master Risk Adjustment in Your Urology Practice
Hint: Avoid unacceptable document sources. If you've ever wondered how risk adjustment w... Read more
Reader Questions:
Note Whether Patient Has Interstitial Cystitis or Not
Question: My urologist performed a cysto, bladder biopsy, fulguration, hydrodistentio... Read more
Reader Questions:
Decipher This Cystourethroscopy Scenario
Question: According to the medical documentation, my urologist placed a 22-French rig... Read more
Reader Questions:
Report Multiple Codes on This Claim
Question: The patient had robotic assisted lap radical cystectomy with pelvic exenter... Read more
Reader Questions:
Focus on Correct Dx Code for PIN
Question: What ICD-10-CM code should I report for focal high-grade prostatic intraepitheli... Read more
Reader Questions:
Differentiate Between Unilateral Versus Bilateral Hydrocele Excision
Question: My urologist opened a hydrocele and because it was small, they just fulgura... Read more
You Be the Coder:
Don’t Forget Modifier 59 on This Claim
Question: My urologist made a transverse inguinal incision with a 15-blade and dissection ... Read more
Tips:
5 Tips Guide Your Varicocele Excisions Procedure Coding
Report I86.1 for varicoceles. In some cases, your urologist may need to perform an excisi... Read more
Quiz:
Common FAQs Perfect Your Bladder Neoplasm Claims
Report C67.7 for malignant neoplasm of the urachus. Reporting neoplasms can be tricky be... Read more
Audits:
Build a Strong Audit Program in Your Urology Practice
First, establish the audit's scope. If you've ever wondered how to create an audit progr... Read more
Reader Questions:
Identify Type of Orchiopexy Approach
Question: Can we report 54640 for retractile testis? The patient in a normal state has a d... Read more
Reader Questions:
Count Number of Lesions for Correct Code Choice
Question: For CO2 laser ablation of genital condyloma that is on the scrotum, should I rep... Read more
Reader Questions:
Differentiate Between These Circumcision Codes
Question: My urologist excised frenular and dorsal skin bridges on an adult circumcised pa... Read more
Reader Questions:
Append Modifier 52 in This Situation
Question: I need some help coding the removal and replacement of a multi-component penile ... Read more
Reader Questions:
Master This Channel TURP Scenario
Question: My urologist performed a cystolitholapaxy for a stone sized greater than 2.5cm. ... Read more
Reader Questions:
Code 57120 Encompasses all Colpocleisis Procedures
Question: What codes should I report for Le Fort colpocleisis with high perineorrhaphy and... Read more
Reader Questions:
See How to Report Litholapaxy
Question: After informed consent was obtained, the patient was brought back to operating r... Read more
You Be the Coder:
Delve Into Bladder Tumor Scenario
Question: My urologist performed a cystoscopy, transurethral resection of bladder tumors w... Read more
CPT®:
Follow 4 Handy Tips to Master Flank Drainage Claims in Your Urology Practice
Hint: Report 49323 for laparoscopic drainage of a peritoneal lymphocele. When your urolog... Read more
Quiz:
5 Quick Questions Guide Your Urine Culture, Urinalysis Coding
Hint: Identify anatomical location to choose correct UTI code. When your urologist perfo... Read more
Modifier:
Heed Expert Advice to Learn How to Properly Append Modifiers
Hint: Always check with individual payers about modifier rules. Chances are, you use mod... Read more
Reader Questions:
Puzzle Out Cystourethroscopy Codes With Ease
Question: I'm new to urology and really struggling with clarification for cystourethroscop... Read more
Reader Questions:
Observe Recent Ultrasound Coding Changes
Question: When a urologist performs a prostate biopsy in the operating room (OR) with the ... Read more
Reader Questions:
Only Report One Code for This Case
Question: My urologist performed a transurethral removal of a polypoid lesion in the bladd... Read more
Reader Questions:
Discover Correct Transurethral Resection of Bladder Neck Code
Question: My urologist diagnosed the patient with urinary retention. On local cystoscopy, ... Read more
You Be the Coder:
Check Age to Pick Appropriate Circumcision Option
Question: A 50-year-old male patient has severe phimosis, and my urologist is ruling out c... Read more
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