Urology Coding Alert

Question:A patient had an artificial urinary sphincter inserted and later on that night, leaned over and felt a "pop" in his groin. He was returned to the OR for repositioning of the reservoir. What code would I use for that?Oregon SubscriberAnswer:You should report CPT 53445 (Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff) for the repositioning procedure. You'll need to append modifier 76 (Repeat procedure or service by same physician or other qualified health care professional) to indicate that your urologist repeated the same procedure on the same day but at another encounter. Then, since he only performed part of the procedure, you should also append modifier 52 (Reduced services).