Urology Coding Alert

Key: Your secondary diagnosis will help get your claim paid. Any number of reasons can cause a urologist to decide that he must abort a planned laparoscopic nephrectomy in favor of an open nephrectomy. But that conversion can throw a real wrench in your coding. Do you report the laparoscopic code? The open code? Maybe both the laparoscopic and the open codes? Take a look at this case study and determine how you would code it. Then review the expert guidance to see if you would have received the money your urologist deserved or if you would be facing a denial. Scenario: A patient has a renal tumor. The urologist brings the patient to the operating room to perform a laparoscopic radical nephrectomy. During the procedure, however, the patient experiences excessive blood loss. As a result, the urologist decides to convert to an open approach to control the bleeding and [...]