Urology Coding Alert
Stricture Location, Previous Surgery Guides Coding
Question: Can you help me code a cystoscopic laser incision of the bladder neck (for an anastomotic stricture) and hemoclip extraction in a patient who had a previous radical prostatectomy? Georgia Subscriber Answer: Report 52276 (Cystourethroscopy with direct vision internal urethrotomy) for internal urethrostomy of a stricture. Since a surgeon removed the bladder neck during the previous radical prostatectomy, the stricture is located at the anastomosis of the urethra and the bladder, not at the bladder neck as often reported. Because of this, 52276 would be the most appropriate code. The Correct Coding Initiative (CCI) bundles 52310 (Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder [separate procedure]; simple) and 52315 (... complicated) into 52276 and you cannot override the edit with any modifier. ICD-9 solution:
Urology Coding Alert
- CPT 2010 Update:
Easily Differentiate Revised Back and Flank Excision Codes Using 3 Questions
Several new codes offer more specifics about the type of tumor your urologist removed. CPT [...] - Clip and Save:
Get Up to Speed on 2010 Tumor Excision Codes With This Rundown
Tip: Look for size notes in the operative report. You have 12 new excision codes [...] - Incorporate a New Modifier to Overcome 99221-99223 Denials
With non-payment for consults, you will need to relearn some old coding rules. While most [...] - Prepare for Private Payer Consult Coding Differences
Come Jan. 1, you may have multiple ways of reporting your doctor's services. CPT Codes [...] - You Be the Coder:
When Is 52353 x 2 Appropriate?
Question: My urologist wants to bill CPT 52353 x 2 along with the [...] - Reader Questions:
Include Ureteral Implantation in 50780
tostomy (left ureteral reimplantation) with the open placement of a ureteral stent for a patient [...] - Reader Questions:
Irrigation Method Won't Change Your Coding
Question: What code should I use to report a suprapubic tube irrigation? Washington DC Subscriber [...] - Reader Questions:
Follow Payer Preference on Cyst Drainage
Question: The urologist performed a cystoscopy and transurethral needle aspiration of a prostatic urethral cyst. [...] - Reader Questions:
Let Radiologist Bill for CT Interpretation
Question: Can a physician bill for reading CT scans in the office? Occasionally, a patient [...] - Reader Questions:
Stricture Location, Previous Surgery Guides Coding
Question: Can you help me code a cystoscopic laser incision of the bladder neck (for [...] - Reader Questions:
Distinguish Lap vs. Open for Omental Flap Coding
Question: How should I report a ureteral lysis and omental wrapping of the ureter for [...] - Reader Questions:
Follow the AMA's +51797 Resequencing Trail
Question: I just got my 2010 CPT Manual and I'm noticing some codes have a [...]
