Urology Coding Alert

Reader Question:

54115: Ensure Deep Tissue FBR Before Coding

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

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.