Urology Coding Alert
Figure Out Which 5010 Category Your Practice Falls Under
Watch out: Not everyone will have until March 31 to comply. You thought you wouldn't face enforcement action regarding 5010 compliance until March 31, 2012. Now CMS tells providers that they are being watched carefully -- and that some of them will not actually have until March to switch to 5010. CMS Accelerates Changeover In a Dec. 14, 2011 news release, CMS announced that it is monitoring progress toward 5010 compliance and has found that some practices are unnecessarily dragging their feet. Whether you've been tested and approved for 5010 or not, you may have heard from your MAC in December to accelerate your transition timeline. Here's the action plan CMS announced in the news release, which will clearly compels some providers to switch prior to March 31: "Submitters/receivers that have tested and been approved for 5010/D.0 will be notified that they have 30 days to cutover to the 5010/D.0 versions" Submitters/receivers that have not yet tested will be notified in Dec. 2011 "that they must submit their transition plan and timeline to their MAC in 30 days" MACs will notify the submitters/receivers and "submitters/receivers have the responsibility to notify the providers they service." To read more about CMS's plan, visit http://www.cms.gov/Versions5010andD0
Urology Coding Alert
- CCI 18.0:
Skip Catheterization Coding With Still More Procedures, According to CCI
Plus, you'll find 51597 bundles several procedures now as well. Every year at this time [...] - ICD-10:
Prostate Cancer Coding Mirrors ICD-9 Neoplasm Table Structure
Hint: You'll apply the same PIN rules even when the codes change.If you don't have [...] - CCI 2012 Update:
Learning the Latest CCI Bundles Isn't Enough -- Get to Know the Overarching Manual Changes, Too
CMS offers clear guidance on what to include in pelvic exenteration coding. Although coders mostly [...] - News You Can Use:
You'll Be Spared a 27 Percent Pay Cut -- At Least Until the End of February
At nearly the last minute, Congress votes to boost conversion factor.Although the government appeared poised [...] - News You Can Use:
Figure Out Which 5010 Category Your Practice Falls Under
Watch out: Not everyone will have until March 31 to comply.You thought you wouldn't face [...] - You Be the Coder:
Reposition Your Return to OR Coding With Modifiers
Question:A patient had an artificial urinary sphincter inserted and later on that night, leaned over [...] - Reader Question:
Laparoscopic Retroperitoneal Lymph Node Dissection Requires 38589
Question:Which is the correct code for a laparoscopic retroperitoneal lymph node dissection (periaortic and interaortocaval [...] - Reader Question:
53502: Confirm Gender Before Coding
Question:We have a patient that previously had a creation of a Mitrofanoff and closure of [...] - Reader Question:
Choose 50544 For a Robotic UPJ Obstruction Repair
Question:How would I code a robotic ureteropelvic junction repair?Florida SubscriberAnswer:You should report CPT 50544 [...] - Reader Question:
Save Time-Based E/M for Counseling/Coordination Heavy Visits
Question:If the physician documents: "Time spent in the evaluation of the patient with mostly medical [...] - Reader Question:
Report Two Codes for Combined, Not Converted Procedure
Question:My urologist does what he calls a robotic assisted nephroureterectomy. He removes the kidney and robotically [...] - Reader Question:
Bladder Neck Incision, BNI, Coding Depends on Cause
Question:What code should I use when my doctor writes only "TUIBNC"?Wisconsin SubscriberAnswer:The coding for an [...] - Reader Question:
50820 For Ileal Neobladder or Just Ileal Conduit?
Question:What is the difference between a neobladder and ileal conduit?For an ileal conduit I bill [...] - Reader Question:
Capture EpiPen® Kit Pay With J0171
Question:We used the EpiPen® kit in the office for a patient who experienced an allergic [...]
