Urology Coding Alert

Key: Pay attention to payer-specific rules. With only two codes to choose from when your urologist performs biofeedback bladder training, capturing proper reimbursement should be easy, right? Think again. With individual payer policies, required modifiers, and Correct Coding Initiative edits all factoring into your biofeedback billing, getting paid can be a challenge for even veteran coders. Don't stress: Despite the hurdles, if you follow these five tips, you'll be able to gain control of your biofeedback coding and reimbursement every time. 1. Identify the Codes CPT® offers two biofeedback codes to choose from when your urologist is treating urinary incontinence, as follows: 90901 -- Biofeedback training by any modality 90911 -- Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry. The service represented by 90911 is more involved than other conventional biofeedback methods represented by 90901. "The code most urologists and urogynecologists are using for biofeedback [...]