Urology Coding Alert
52001-59: When Can You Break the Bundle?
Question: In the evaluation of gross hematuria the urologist first evacuated multiple obstructing clots from the bladder and then, after cystoscopic examination when the bladder interior could be clearly viewed, he fulgurated several bleeding sites secondary to radiation cystitis. There was no biopsy involved. CCI edits say 52001 is included in 52214, but the bundle can be broken with modifier 59. When would it be appropriate to add modifier 59 to 52001? Virginia Subscriber Answer: This clinical scenario would be the time when you should add modifier 59 (Distinct procedural service). Since the irrigation usually does take sufficient time to perform and is a separate part of this overall procedure you should consider the following coding for your clinical scenario: 52001-59 (Cystourethroscopy with irrigation and evacuation of multiple obstructing clots) for the clot evacuation 52214 (Cystourethroscopy, with fulguration [including cryosurgery or laser surgery] of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands) for the fulguration.
Urology Coding Alert
- CCI 17.1:
51565: Don't Double Dip When Reporting Partial Cystectomy Procedures
Watch out for 'standards of surgical practice' edits surrounding 55706.If your urologist performs cystectomies or [...] - ICD-10:
591: Expand Your Hydronephrosis Coding in 2013
Check the urologist's documentation for mention of infection to start down the right code path.When [...] - Evaluation and Management:
99204-99205, 99214-99215: Stop Forfeiting Level Four and Five E/Ms With 3 PMFSH Tips
Make your urologist's job easier by letting the patient or nurse document the history.If your [...] - Aspects of PFSH
Per CPT®, past medical, family and/or social history is divided into three subsections. 1. Past [...] - Clip and Save:
Easily Capture PMFSH Data With This Handy Worksheet
Hint: You can have the patients document their own history as long as the urologist [...] - You Be the Coder:
50605: To Add or Not to Add to Pyeloplasty Coding?
Question: How should I report "dismembered pyeloplasty with right nephrostomy and placement of double-J stent"? [...] - Reader Questions:
51700 Requires More Than Placement Check
Question:What codes should I use when my urologist performed bedside irrigation of an already-in-place catheter [...] - Reader Questions:
Add 51700 For Documented Barbotage
Question:Can I code for bladder barbotage the urologist does while the patient is also having [...] - Reader Questions:
Consider V58.42 For Post-Op Disease Counseling
Question:We had a patient with a prostate cancer diagnosis who had an office visit during [...] - Reader Questions:
Base 99291-99292 on Care, Not Location
Question:After a patient with chest pain "coded" in the ER and was admitted to the [...] - Reader Questions:
52001-59: When Can You Break the Bundle?
Question:In the evaluation of gross hematuria the urologist first evacuated multiple obstructing clots from the [...] - Reader Questions:
Does 49203-49205 Apply For Liver Mass Excision?
Question:What code would I use for an excision of a retro hepatic mass via thoracic-abdominal [...]
