Urology Coding Alert

Quick Quiz:

Are You Up to Speed on the 2008 CPT Changes? Find Out Fast

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Still trying to digest all the CPT 2008 changes? This quiz will help you determine whether you're on the right track with the new codes or if you should crack open your 2008 manuals and take another look.

Hint: You can find all the quiz answers in one of these five past Urology Coding Alert articles:

  • "Get Specific With 2 New Urogynecology Codes" and "Anticipate Easier Telephone Service Coding Come January" from the 2007, Volume 9, No. 12 issue

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  • "Kiss Modifier 52 Goodbye for Stent Removals Without Cystoscopy," "Include NPP in Team Conference Thanks to New Codes" and "Stay Intent on Documentation in Lieu of Consult Clarification" from the 2007, Volume 10, No. 1 issue.

  • Question 1: Your urologist removes an indwelling ureteral stent with a clamp via transurethral approach using radiological guidance. How should you report this procedure?

    A. 52310-52

    B. 50385

    C. 50385-52

    D. 50386

    Question 2: A urogynecologist performs a paravaginal defect repair with cystocele repair via laparoscopic approach. Which code(s) should you report?

    A. 57284

    B. 57284 and 57240

    C. 57423

    D. 57423 and 57240

    Question 3: The urologist documents that he performed a "holmium laser enucleation of the prostate." What is the best code to report?

    A. 52647

    B. 52648

    C. 52649

    D. 52700

    Question 4: A new patient with urinary incontinence comes to your office on Wednesday. The urologist does a complete workup, resulting in a level-three new patient E/M visit (99203, Office or other outpatient visit for the evaluation and management of a new patient ). Three days later, the urologist calls the patient to see how he's doing, to discuss questions the patient had and to recommend a follow-up appointment. He spends 17 minutes on the phone with the patient. What code should you report for the physician's telephone service?

    A. 99441

    B. 99442

    C. 99371

    D. None of the above

    Check yourself: Take a look on page 15 of this issue to see if you've got a handle on the latest round of coding changes from CPT.