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Urology Coding Alert

You Be the Coder:

Figure Out This Modifier Conundrum

Published on Thu Oct 13, 2022

`Question: The patient is in the post-op period from having a transurethral resection of the prostate (TURP) done. The pathology showed prostate cancer. The patient then continued to have SpaceOAR™ and intensity-modulated radiotherapy (IMRT) placement. I billed 55874 and 55876-51. Medicare paid the 55874 but is denying the 55876, stating the procedure code is inconsistent with the modifier used or [...]
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