Urology Coding Alert
Different Surgical Locations Equal 2 Codes
Question: I've been told that if a urologist does an ESWL on a kidney stone and then another ESWL on a ureteral stone during the same operative session that I cannot code both procedures, but I can charge if they are on different sides. Is this correct? Pennsylvania Subscriber Answer: You can code for both of the extracorporeal shock wave lithotripsies (ESWLs) on the same side using modifier 59 (Distinct procedural service) to indicate that the urologist used the same procedure for a stone in a different segment of the urinary tract. In this scenario your coding should be: • 50590 (Lithotripsy, extracorporeal shock wave) with a diagnosis of 592.0 (Calculus of kidney) • 50590-59 with a diagnosis of 592.1 (Calculus of ureter). Pointer: If the stones were in the left and right urinary tracts, add modifier LT for the left side and modifier RT for the right (50590-LT and 50590-59-RT).
Urology Coding Alert
- Ensure Your Robotic-Assist Coding Is Living Up to Its Potential
Key: Do payer-specific research before adding S2900 to another claim Since you have a - AMA Update:
Increase Documentation for Modifier 22 Thanks to CPT 2008
Good news: You’ll have an easier time choosing 58, 76 or 78 this year The [...] - Quick Quiz:
Are You Up to Speed on the 2008 CPT Changes? Find Out Fast - You Be the Coder:
Unsupervised Urodynamics
Question: We had some patients show up for urodynamics in our office at times when [...] - Quick Quiz Answers:
Are You Up to Speed on the 2008 CPT Changes? Find Out Fast
Answer 1: D. This year, CPT added two new codes for ureteral stent removal via [...] - Reader Questions:
Look at Stone Size Before Coding
Question: How should I code a suprapubic cystoscopy with stone removal? West Virginia Subscriber Answer: [...] - Reader Questions:
Different Surgical Locations Equal 2 Codes
Question: I've been told that if a urologist does an ESWL on a kidney stone [...] - Reader Questions:
Check for Clinical Evidence With History of Dxs
Question: When should I start using "history of" diagnosis codes if the patient has been [...] - Reader Questions:
Save J2001 for IVs
Question: Is there a code we should bill for subcutaneous lidocaine or lidocaine with epinephrine [...]
