Urology Coding Alert
Use Node Dissection to Decide Ileal Loop Code
Question: What should I code for a radical cystoprostatectomy and ileal conduit diversion? At first, I thought of 55845, but now I do not think that I am correct. Answer: The first part of this surgery was the cystectomy with ileal loop. If the urologist did not perform a bilateral node dissection along with the cystectomy, report 51590 (Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis). If he did perform a bilateral node dissection, report 51595 (... with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes).
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For the prostatectomy, report 55840 (Prostatectomy, retropubic radical, with or without nerve sparing). If the urologist also placed bilateral ureteral stents, report 50605-50 (Ureterotomy for insertion of indwelling stent, all types; bilateral procedure).
Urology Coding Alert
- NCCI Update:
Reporting Radioactive PVR Studies and Cystos Separately? Not Anymore
Watch for new coding edits designed to stop 'double-dipping' for post-void residual studies If you're [...] - You Be the Coder:
Cystolithoplaxy and Tumor Fulguration
Question: One of my urologists performed the following: cystoscopy, bilateral retrograde pyelography, cystolithopaxy (using a [...] - Pediatric Urology Corner:
Keep Urinalysis Reimbursement Flowing With Clean ICD-9 Coding
Stand up for payment if carrier bundles urine dip into E/M Urinary tract infection (UTI) [...] - Quick Key:
Get the NCCI 11.1 Skinny Here
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Inflate Hopes for Payment for Balloon Catheter Removal
Key: Use 1 E/M code for office visit and initial hospital care on the same [...] - Correction
An article in the April 2005 Urology Coding Alert, "Believe It or Not: Add Frequency [...] - Reader Questions:
Link PSA Test to Approved Dx Code
Question: Which ICD-9 Codes will Medicare allow as showing medical necessity for the PSA [...] - Reader Questions:
Keep POS Codes Straight for Nursing Facilities
Question: Which CPT Codes and place-of-service codes should we report if the doctor sees a [...] - Reader Questions:
Knockout Coding for Fistulagram
Question: I need a code for fistulagram. The patient had a superficial skin-to-skin penile fistula. [...] - Reader Questions:
Rely on Unlisted-Procedure Code for Burch Takedown
Question: What is the proper code for Burch takedown or retropubic lysis of adhesions and [...] - Reader Questions:
Use Node Dissection to Decide Ileal Loop Code
Question: What should I code for a radical cystoprostatectomy and ileal conduit diversion? At first, [...] - Reader Questions:
Make Friends With -78 for Post-Op Cysto
Question: Ten days after an open simple prostatectomy, the urologist brought the patient back to [...] - Masterful CPT Coding to Capture All Revenue
Presented by Kristine Eckis The following supplement to Urology Coding Alert is the transcript of [...]
