Urology Coding Alert
Reader Questions:
Differentiate Between Unilateral Versus Bilateral Hydrocele Excision
Published on Mon Feb 14, 2022
Question: My urologist opened a hydrocele and because it was small, they just fulgurated all the tissue to prevent recurrence. Should I still report 55041 on my claim? AAPC Forum Subscriber Answer: You should report 55040 (Excision of hydrocele; unilateral) on your claim because this is a unilateral hydrocele. You should also append modifier 52 (Reduced services) to 55040. Don’t miss: On the other hand, you would report 55041(Excision of hydrocele; bilateral) if your urologist excised a bilateral hydrocele.
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