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Urology Coding Alert

Reader Question:

Don't Jump to Unbundle 76000 From 50590

Published on Thu Jun 13, 2019

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Urology Coding Alert

Procedure Focus:
Biopsy or Aspiration? Here's How to Know the Difference
Hint: Needle size can help you distinguish. The world of medicine includes numerous pinpoint-specific terms, [...]

Modifier Focus:
Follow These Urology Scenarios to Find Success with Modifier 58
Planning the procedure makes all the difference in your claim. You might not report modifier [...]

Modifier Mix-Up:
Don't Confuse Modifier 58 With 78
Check for planned vs. unplanned for guidance. When considering whether to report modifier 58, don’t [...]

You Be the Coder:
Watch Whether 76872 Overrides 76942
Question: I’ve recently returned to urology coding after spending several years in another specialty. In [...]

Reader Question:
Don't Jump to Unbundle 76000 From 50590
Question: Are we allowed to bill 50590 with 76000? Delaware Subscriber Answer: According to the [...]

Reader Question:
Watch Dates and Codes for PCNL Followed by Nephrostomy Catheter
Question: A patient had a PCNL on 04/03/2019. On 05/03/2019 the patient returned for a [...]

Reader Question:
Complications During Colectomy Can Lead to Multiple Codes
Question: A patient was scheduled for an open sigmoid colectomy by the GI surgeon. A [...]

Reader Question:
Double PSA Test Does Not Merit Modifier 91
Question: We occasionally have patients whose PSA numbers are so high that they are above [...]

Reader Question:
Yes, You Can Report Barbotage With Cystoscopy
Question: Would a barbotage urine sample done at the same time as cystoscopy ever be [...]

Reader Question:
Turn to Separate Codes for Tests Without a Panel
Question: The urologist ordered a 24-hour urine collection to assess calcium, oxalate, citrate, magnesium, uric [...]

Reader Question:
Use of Clamp May Not Point to 54150 Over 54161 for Phimosis
Question: The urologist performed a circumcision on an 80-year-old male. The diagnosis was phimosis. Notes [...]

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