Urology Coding Alert

Hint: Be sure to check your payer's approved diagnoses. Many urologists are using Botox to treat urinary dysfunctions in patients. With no assigned CPT Code for the work your urologist performs and varying payer policies on which diagnosis codes are acceptable for payment, just the thought of Botox injections may give you a headache. But if you follow these four expert tips, you will find Botox coding can bring significant reimbursements for your urologist without coding headaches for you. Your Only CPT® Choice May Be Unlisted There is no specific CPT code for this procedure. Medicare and many other private and commercial carriers have suggested using 53899 (Unlisted procedure, urinary system) for the cystoscopy and bladder wall injections. This coding method for Botox bladder wall injections has been suggested by CMS, and you can find the details in local coverage determinations (LCDs) from several states. Don't over-code: "Remember that this [...]