Urology Coding Alert
Nephrectomy With Resection
Question: A physician performed a right nephrectomy with a resection of the ileal conduit urinary diversion. How should we code the resection?
New York Subscriber
Answer: Unfortunately, there is no CPT code for excision or resection of an ileal conduit. Therefore, you should use 44799 (Unlisted procedure, intestine). As with all unlisted-procedure codes, you should submit this as a paper claim instead of electronically. In addition, you should include a detailed operative report as well as a simple, short explanatory note in layman's terms regarding the procedure. Do not be tempted to use 44620 (Closure of enterostomy, large or small intestine) to avoid the unlisted-procedure code; it is not accurate. You should also estimate and supply a reasonable fee based on a procedure similar in work, skill, risk to the patient and follow-up time.
Urology Coding Alert
- How to Ensure Proper Prostate Nodule Diagnosis Coding:
600.x or 239.5?
A urologist performs a prostatic nodule biopsy to determine if the nodule is benign or [...] - Prevasectomy Visits:
Drawing the Line Between Consults and New Patient Visits
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Nephrectomy
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - Function Determines Code for Ureteral Stents or Catheters
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ESWL Treatments
Question: How should we code repeat extracorporeal shock wave lithotripsy (ESWL) treatments? Does it make [...] - Reader Question:
Undetectable PSA Diagnosis
Question: What diagnosis should we use when a patient had prostate cancer but has been [...] - Reader Question:
Modifier -51
Question: Do we need modifier -51 (Multiple procedures) with 51726 (Complex cystometrogram [e.g., calibrated electronic [...] - Reader Question:
Urethral Swab
Question: How should we code a urethral swab? Oregon Subscriber Answer: There is no specific [...] - Reader Question:
Nephrectomy With Resection
Question: A physician performed a right nephrectomy with a resection of the ileal conduit urinary [...] - Reader Question:
Undescended Testicle
Question: A primary care physician referred a patient to our urologist for an undescended testicle. [...] - Reader Question:
Abdominoperineal Resection
Question: A urologist performed surgery on a patient with a presacral abscess (ICD-9 567.2, [...]
