Urology Coding Alert

Reader Question:

Who if Financially Responsible for a Stent Purchase?

Question: We have a patient that needs a special ureteral stent, and we had to order it ourselves. The urologist inserted the special stent cystoscopically in the hospital (52332). The hospital does not deal with the company that supplied these other stents that worked so well for this patient. The surgery will not cover the stent cost. All total the stent costs $160.10. How do we go about having the patient pay for this stent?Pennsylvania SubscriberAnswer: Since your urologist performed the procedure, 52332 (Cystourethroscopy, with insertion of indwelling ureteral stent [e.g., Gibbons or double-J type]),in the hospital where the hospital furnishes the equipment, supplies, and materials necessary to perform the specific procedure, the hospital should report the cost of this stent on their supply cost report even though they did not purchase the special stent. Then, the urologist who did purchase the stent should seek compensation for his costs directly [...]
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