Urology Coding Alert
Look at Diverticulum Code for Perineal Mass
Question: One of my urologists did a perineal exploration and excision of perineal mass. I have looked, but I can't find any codes for this. Answer: There are few CPT codes addressing the perineum, and most of them are concerned with female pathology. If the perineal mass represents a urethral diverticulum in a male patient, you should report codes 53235 (Excision of urethral diverticulum [separate procedure]; male). If in fact this was the excision of a Cowper's gland or a similarly placed cystic structure, you should use 53250 (Excision of bulbourethral gland [Cowper's gland]). - Answers to Reader Questions and You Be the Coder contributed by Michael A. Ferragamo, MD, FACS, clinical assistant professor of urology, State University of New York, Stony Brook, New York; and Morgan Hause, CCS, CCS-P, privacy and compliance officer for Urology of Indiana LLC, a 19-urologist practice in Indianapolis.
Florida Subscriber
For the exploration of a nondescript perineal mass, look at code 27047 (Excision, tumor, pelvis and hip area; subcutaneous tissue) or 27048 (... deep, subfascial, intramuscular) depending on its location. In this particular anatomy, the pelvic area includes and encompasses the perineum.
Urology Coding Alert
- Case Study:
Perk Up Your Percutaneous Nephrolithotomy Coding
Kidney stones gather no reimbursement - unless you know your modifiers and code descriptors
When a [...] - You Be the Coder:
Groin Exploration
Question: Our patient was to have a hydrocelectomy. After the patient was asleep, the urologist [...] - News You Can Use:
BPH With Obstruction to Diagnosis List for PSA
The bad news: Lower allowances for Zoladex, Lupron and Viadur
Good news: On Oct. 1, you'll [...] - Reporting 2 Diagnosis Codes for Modifier -25 Claims? Read This First
Paying attention to globals can rescue you from costly denials
Your urologist [...] - Reader Question:
Use Surgeon's Interpretation to Determine Coding Within Global
Question: My urologist saw a Medicare patient who had had a TURP (CPT Code 52612, [...] - Reader Question:
Include Abdomen, Pelvis Codes for Spiral CT
Question: About six months ago we purchased our own CT scanner. We were informed that [...] - Reader Question:
Only Code Corpora Injections Once
Question: A patient came into the office complaining of impotence. We billed J2440 and [...] - Reader Question:
Meet Incident-To Guidelines for Nurse Cysto
Question: According to the Medicare Carriers Manual, CPT Code 74455 must have personal supervision. [...] - Reader Question:
Look at Diverticulum Code for Perineal Mass
Question: One of my urologists did a perineal exploration and excision of perineal mass. I [...]
