Urology Coding Alert
Irrigation and Suprapubic Tube Change
Michigan Subscriber
Answer: The change of a simple suprapubic tube - 51705 (Change of cystostomy tube; simple) - includes any irrigation - 51700 (Bladder irrigation, simple, lavage and/or instillation) - that you may perform. You are correct: Modifier indicator "0"means that you cannot override this Ncci Edits bundling edit with any modifier, which means you can't report those two CPT Codes together.
Bright side: The complicated changing of a suprapubic tube - CPT 51710 (Change of cystostomy tube; complicated) - does not bundle 51700. NCCI does not consider irrigation an integral part of a complicated SP tube change.
Therefore, if the urologist performs a complicated change of the suprapubic tube (dilating the tract before inserting the tube), and then irrigates the tube because of bleeding, use 51710 for the complicated change of the suprapubic tube and 51700 for the irrigation of the tube, possibly for removal of blood clots from bleeding following the dilation of the suprapubic tract.
Urology Coding Alert
- Gain Control of Your Stress Incontinence Treatment Coding
Make sure you can distinguish the different SUI treatment options - mistakes could cost you [...] - Plug Up Leaky Reimbursement for Sphincter Deficiency Implants
Using 599.82 for SUI implants solves your 51715 woes - but coding for supplies is [...] - RVU Update:
Expect More Pay for Evaluation and Management Codes in 2005
CMS finds 2 ways to raise the fees for E/M services next year
- E/M Brushup:
Test Your Coding Skills on These 3 Scenarios
Focus on the right components to bring in $15 per exam Knowing how the - You Be the Coder:
Irrigation and Suprapubic Tube Change
Question: My urologist did a suprapubic tube change (51705). He had heard at a seminar [...] - Reader Questions:
Be Sure No One Can Fault Your Culture Coding
Question: I'm wondering about CPT Code 87081, urine screen culture. What are the requirements for [...] - Reader Questions:
Use Reason for Bladder Scan to Decide Code
Question: When my urologist does a bladder scan in the office, which code should I [...] - Reader Questions:
Get Specific With Prosthesis Malfunction Diagnosis
Question: Our surgeon revised a malfunctioning inflatable penile prosthesis. Our Blue Cross carrier gave us [...] - Reader Questions:
Unravel the Da Vinci Code
Question: In November, both of my urologists will start using the Da Vinci system for [...] - Reader Questions:
Corral Migrating Stents With Modifier -22
Question: A patient had a laser lithotripsy, and the urologist left a stent in place. [...]
