Urology Coding Alert
Omit Modifier for Repeat Vasectomy
Question: If a patient had a vasectomy in October, and had to have it repeated in April because the first one was unsuccessful, how should I code it? Would I need modifier -76 (Repeat procedure by same physician)? What would the diagnosis code be?
Rhode Island Subscriber
Answer: Report 55250 (Vasectomy, unilateral or bilateral [separate procedure], including postoperative semen examination[s]) without any modifiers. Because the global surgical period for 55250 is 90 days, the procedure in April would not be included within the global period of the first vasectomy performed in October.
For a primary diagnosis, report V25.2 (Encounter for contraceptive management; sterilization). Report 998.89 (Other specified complications of procedures, not elsewhere classified; other specified complications) as a secondary diagnosis.
Urology Coding Alert
- Code All Aspects of Urodynamics Studies for Steady Stream of Reimbursement
Bring in over $900 per session with the answers to these frequently asked questions
Whether [...] - Prove Need for Urodynamics With Specific ICD-9 Codes
Most urinary incontinence or retention codes are acceptable - but check your LCD
- ICD-9 2006 Update:
Hone In on Specific Codes for UTI History, Kidney Failure
Starting in October, you'll see more options for coding urinary obstruction
A history of urinary tract [...] - Don't Hesitate To Ask Doctors To Clear Up Documentation
Draw on the answers you need for accurate coding
What you don't know can hurt you [...] - You Be the Coder:
Post-Op Bladder Neck Closure
Question: A patient had had a prior TURP, and the diagnosis was a post-op bladder [...] - Coding for Same-Day Cystos and Urodynamics? Read This First
You can code them separately - but don't expect full reimbursement for the cysto
Although urologists [...] - READER QUESTIONS:
Settle on 53010 for Urethrostomy
Question: How should I code a perineal urethrostomy stone removal?
California Subscriber
Answer: Report CPT [...] - READER QUESTIONS:
Track Down V Code for Missing Tumor
Question: A patient with a tumor that was confirmed radiologically in his renal pelvis was [...] - READER QUESTIONS:
Omit Modifier for Repeat Vasectomy
Question: If a patient had a vasectomy in October, and had to have it repeated [...] - READER QUESTIONS:
Shun 53040 for Superficial Lesion
Question: The urologist incised and drained a peri-urethral cyst. He said it would be like [...] - READER QUESTIONS:
Forget 96400 for Medicare
Question: Which code should I use for four-month Lupron injections given in the office? Should [...]
