Urology Coding Alert
Code Specifically for Saturation Biopsy
Question: My urologist wants me to code a saturation biopsy of the prostate with Cryogrid 24 cores with a genitourinary unlisted-procedure code. Is this right, or is there a more specific code I should use? Answer: There is no specific CPT code for a saturation biopsy of the prostate gland, but you don't need to resort to an unlisted-procedure code. Report 55700-22 (Biopsy, prostate; needle or punch, single or multiple, any approach; unusual procedural services). You should append modifier -22 to indicate the extra work that was involved and documented.
Florida Subscriber
Most important: Along with this claim, you must send the operative report and a short explanatory cover letter explaining the nature and reason for the extra work and the extra number of biopsies performed. However, the extra reimbursement - if any - will probably be minimal.
Urology Coding Alert
- NCCI 11.0 Update:
Include Nerve Blocks and Venipuncture in New Fournier's Debridement Codes
The new edits also change how you code bladder instillation, kidney transplant prep, and PVR [...] - You Be the Coder:
Fournier's Debridement and Orchiectomy
Question: My urologists did an extensive four-hour debridement of Fournier's gangrene involving the penile skin, [...] - New Home, Old Bundles for Cysto With Resection
The code has changed, but the bundles stay the same Something peculiar happened with the [...] - Case Study:
Try Coding This Hematoma and Nephrostomy Tube Revision
Organ or tissue replaced by transplant; kidney) and 996.81 (Complications of transplanted organ; kidney) as [...] - Quick Key:
Get the NCCI 11.0 Rundown Here
Check this list before using the new instillation or Fournier's codes The National Correct Coding [...] - Reader Questions:
Seek Out Hidden Penis With 54161
Question: My doctor has a 10-month old patient with a hidden or buried penis. The [...] - Reader Questions:
Code Specifically for Saturation Biopsy
Question: My urologist wants me to code a saturation biopsy of the prostate with Cryogrid [...] - Reader Questions:
Choose 99235 for Examiner Only
Question: Dr. Smith was on-call and in the early morning admitted a patient to the [...] - Reader Questions:
Use Unlisted-Procedure Code for Mitrofanoff Dilation
Question: The urologist did an endoscopic evaluation of a patient's Mitrofanoff access, a dilation of [...] - Reader Questions:
Include Supplies in Valsalva Code
Question: Which code should I use to report a Valsalva leak point test? We used [...] - Are You Ready to End Your E/M-Guideline Confusion? We Can Help
Use CMS' responses to our questions to report correct E/M levels Like many coders, you've [...] - You Be the Expert:
Should You Factor Patient's Status?
Question: During an office visit, my doctor performed an expanded problem-focused history, a problem-focused examination, [...] - Reader Question:
Let the Elements Drive Your History Documentation
Question: The chart that physicians use to select the level of history includes identifiers. For [...]
