Urology Coding Alert

Reader Questions:

Strengthen Your Fascia Harvest Claims

Question: Is it appropriate to report CPT 20926 in addition to CPT 51992 if the physician harvests the fascia from the patient? I do not see any bundling issues but I am unsure if 51992 includes the harvest.Virginia SubscriberAnswer: When your urologist performs a laparoscopic sling procedure, you should report 51992 (Laparoscopy, surgical; sling operation for stress incontinence [e.g., fascia or synthetic]). You can also bill the harvest code, 20926 (Tissue grafts, other [e.g., paratenon, fat, dermis]).Reasoning: When the urologist performs an open sling procedure, 57288 (Sling operation for stress incontinence [e.g., fascia or synthetic]), this code does not include the fascial harvest (20926). Therefore, consider the same to be true when your urologist uses harvested fascia during a laparoscopic sling procedure.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Urology Coding Alert

View All

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.