Urology Coding Alert
Bundling 52310 and 52351
New York Subscriber
Answer: The most recent Correct Coding Initiative edits, version 7.2, do not bundle 52310 as a component code of 52351, so both can be billed at the same time. The separate-procedures indicator on 52310 may be the issue, or the payers editing software (e.g., ClaimCheck) bundles the procedures. The denial should be appealed with documentation, addition of an appropriate modifier, such as modifier -59 (distinct procedural service), and a letter explaining the circumstances. But the appeal may fail. Ultimately, the payer has the authority to dictate how claims for its beneficiaries will be processed and paid.
Urology Coding Alert
- Break Down Brachytherapy into Steps for Proper Coding and Fair Payment
Because urologists often work with radiation oncologists to perform brachytherapy, the decision of who bills [...] - Use Correct Modifier for Second Surgery Within Global Period
When a urologist brings a patient back to the operating room (OR) within the global [...] - You Be the Coder:
Measurement of Post-Voiding Residual Urine
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - Get Paid for Stent Placement and Removal in Same Session
When a urologist changes a ureteral stent, the question is whether he or she should [...] - Correction:
Use 74455 for VCUG
In the article "When To Bill an Office Visit With Catheterization" in the June [...] - News Brief:
CCI 7.2 Leaves Ureteroscopy Codes Free of Stent Bundles
When the ureteral stricture and ureteroscopy codes were changed to 52341-52355 in 2001, the Correct [...] - Reader Question:
Retrograde Ejaculation
Question: What is the correct diagnosis code for retrograde ejaculation?
Montana Subscriber [...] - Reader Question:
Tumor Smaller Than 0.5
Question: When the pathology report says a tumor is smaller than 0.5 centimeters and the [...] - Reader Question:
Bundling 52310 and 52351
Question: One of our insurance companies includes CPT 52310 (cystourethroscopy, with removal of [...] - Reader Question:
UroLume Stent
Question: What is the correct way to bill for a UroLume stent?
Connecticut Subscriber
Answer: UroLume is [...]
