Urology Coding Alert
Resolve This SP Tube Polyp Procedure
Question: After prepping and draping the patient in standard manner and administering monitored anesthesia care (MAC), the urologist removed an old suprapubic (SP) tube and replaced it with a new SP tube. The patient had a very large polypoid skin tag at the SP tube site. A needlepoint Bovie was used to excise the excess thin polyp from that SP tube site. Good hemostasis was obtained. Dressing was placed and the procedure was completed. The patient was then sent to the post-anesthesia room (PAR) in stable condition. The urologist will follow up in a month. Which code should be reported for this procedure? Georgia Subscriber Answer: Report CPT® code 51705 (Change of cystostomy tube; simple) for the change of the suprapubic catheter. For a complicated tube change, you would look to 51710 (Change of cystostomy tube; complicated). In addition, report 11200 (Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions) for this procedure. Don’t forget: If the urologist removes more than 15 lesions, you should also report add-on code +11201 (Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions, or part thereof (List separately in addition to code for primary procedure)).
Related Articles
Urology Coding Alert
- Ask an Expert:
Polish Up Coding For PCNL Procedures
Check out this scenario to stay in the game. If you’re like most urology coders, [...] - Coding Quiz:
Determine Your Level of Flank Drainage Knowledge
Modifier 57 will come in handy when coding these procedures. When your urologist carries out [...] - Compliance:
Maintain Telehealth Compliance in Your Post-PHE Practice
Vendors under contract are also obligated to adhere to HIPAA rules. Telehealth services have become [...] - You Be the Coder:
Cut the Confusion From This Bladder Tumor Removal Case
Question: My urologist carried out a cystoscopy and transurethral resection of bladder tumors with fulguration on [...] - Reader Questions:
Take the Ache Out of This Orchiopexy Procedure
Question: Is it appropriate to use CPT® code 54640 for a case of retractile testis? The patient’s [...] - Reader Questions:
Resolve This SP Tube Polyp Procedure
Question: After prepping and draping the patient in standard manner and administering monitored anesthesia care (MAC), [...] - Reader Questions:
Grasp the 5 Levels of Appealing Medicare Denials
Question: I filed a claim for a Medicare Part B patient with my Medicare Administrative Contractor [...]
