Urology Coding Alert
Select 53899 for Cannulation
Question: North Carolina Subscriber Answer: You should also bill 52204 (Cystourethroscopy, with biopsy[s]) and 52005 (Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service) with modifier 59 (Distinct procedural service) if the cystoscopy and retrograde represents a diagnostic procedure. If your urologist also interpreted the retrograde pyelogram and separately documented the reading in the medical records, you may also report 74420-26 (Urography, retrograde, with or without KUB; professional component).
Urology Coding Alert
- Prostate Procedures:
G0103 vs. 84153: Follow 3 Guidelines for Foolproof PSA Test Coding
The diagnosis code you choose will make or break your claim. When your urologist performs [...] - News You Can Use:
Scrap 96402 For Lupron Injections in Noridian Patients
Apply the new rule to claims after March 1.If your practice sees patients with insurance [...] - Modifier Mythbuster:
Bust 3 Myths to Avoid the Catch-22 of 'Increased Procedural Services'
If you assume you can always append modifier 22 in certain clinical situations, you're headed [...] - You Be the Coder:
Does Trigone Cauterization Warrant 52214-59?
Question: A patient underwent hydrodistention under general anesthesia for treatment of interstitial cystitis. During the [...] - Reader Questions:
J2001 Reimbursement Depends on Administration Type
Question: The Correct Coding Initiative ( CCI Edits ) tells me if I bill [...] - Reader Questions:
Decipher Column 1, Column 2 CCI Codes
Question: Sometimes I cannot find the two codes I intend to bill in the - Reader Questions:
Select 53899 for Cannulation
Question: I'm unsure how to code for cannulation of colovesical fistula. The doctor also did [...] - Reader Questions:
No Void Leaves a Void in Your Urodynamics Coding
Question: If a patient cannot urinate at the end of the biofeedback, can we charge [...] - Reader Questions:
Assign 99221 Plus Office Visit Based on Dates and Physician Presence
Question: Our urologist saw a patient in the office, then admitted her to the hospital [...] - Reader Questions:
Reserve 185 for Malignancy
Question: One of my providers did a TURP on a patient and sent everything to [...] - ICD-10:
Trade V Code for Z Code on PSA Screenings
You'll find a one-to-one relationship for both screening and diagnostic PSA diagnoses. When your urologist [...]
