Advanced Search

Urology Coding Alert

Reader Question:

54115: Ensure Deep Tissue FBR Before Coding

Published on Fri Jul 15, 2011

Question: Would removal of a penile-scrotal ring that was not inside the penis be billed as CPT 54115 ?Oregon SubscriberAnswer: You should not use 54115 (Removal foreign body from deep penile tissue [eg, plastic implant]) in this case. 54115 is for a deep foreign body removal but not for an external ring as in this case.Better bet: There is no specific CPT® code for this type of problem. As there are many clinical scenarios that represent a foreign body involving the external genitalia, consider 55899 (Unlisted procedure, male genital system) in these clinical situations.Remember: You may need to submit a detailed operative report and a covering explanatory letter to your payer to achieve reimbursement.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Urology Coding Alert

View All