Urology Coding Alert
Avoid Modifier -63 With 53025
A CPT Codes 2003 modification the addition of modifier -63 (Procedure performed on infants less than 4 kg) has a greater impact on urology coding because of what it can't be used with than what it can. The new guidelines tell coders to append this modifier when "procedures performed on neonates and infants up to a present body weight of 4 kg may involve significantly increased complexity and physician work commonly associated with these patients." But try appending it to CPT 53025 and you can be sure your claim will be denied. The rationale for designating 53025 (Meatotomy, cutting of meatus [separate procedure]; infant) as exempt from modifier -63 is that "the additional work that modifier '-63' is intended to represent" is already accounted for by 53025.
Urology Coding Alert
- The CPT 2003 Scoop:
Laparoscopic Partial Nephrectomy Code Has Arrived
CPT Codes 2003, which goes into effect Jan. 1, 2003, brings significant additions [...] - Diagnosis-Code BPH Symptoms, Not BPH for PSA Reimbursement
Before you bill your next PSA screening, you'd better get cozy with the new clinical [...] - Avoid Modifier -63 With 53025
A CPT Codes 2003 modification the addition of modifier -63 (Procedure performed on [...] - You Be the Coder:
Ease Coding for Assistant at Surgery
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - Codes to Avoid With 84153
Beginning Nov. 25, don't be surprised when your PSA claims for Medicare patients get denied [...] - Reader Questions:
Code Around CCI Complications
Question: We have had trouble coding for a certain procedure at our office. The physician [...] - Reader Questions:
Use -59 With Biopsies and No History of Bladder Tumors
Question: Which code should I use for bladder biopsies and fulguration of bladder biopsy sites? [...] - Reader Questions:
Boldly Bill Bilateral Cystoscopy
Question: Can urology procedures be billed bilaterally? In particular, I am confused about billing for [...]
