Urology Coding Alert
Reposition Your Return to OR Coding With Modifiers
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 Subscriber Answer: 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).
Urology Coding Alert
- CCI 18.0:
Skip Catheterization Coding With Still More Procedures, According to CCI
Plus, you'll find 51597 bundles several procedures now as well. Every year at this time [...] - ICD-10:
Prostate Cancer Coding Mirrors ICD-9 Neoplasm Table Structure
Hint: You'll apply the same PIN rules even when the codes change.If you don't have [...] - CCI 2012 Update:
Learning the Latest CCI Bundles Isn't Enough -- Get to Know the Overarching Manual Changes, Too
CMS offers clear guidance on what to include in pelvic exenteration coding. Although coders mostly [...] - News You Can Use:
You'll Be Spared a 27 Percent Pay Cut -- At Least Until the End of February
At nearly the last minute, Congress votes to boost conversion factor.Although the government appeared poised [...] - News You Can Use:
Figure Out Which 5010 Category Your Practice Falls Under
Watch out: Not everyone will have until March 31 to comply.You thought you wouldn't face [...] - You Be the Coder:
Reposition Your Return to OR Coding With Modifiers
Question:A patient had an artificial urinary sphincter inserted and later on that night, leaned over [...] - Reader Question:
Laparoscopic Retroperitoneal Lymph Node Dissection Requires 38589
Question:Which is the correct code for a laparoscopic retroperitoneal lymph node dissection (periaortic and interaortocaval [...] - Reader Question:
53502: Confirm Gender Before Coding
Question:We have a patient that previously had a creation of a Mitrofanoff and closure of [...] - Reader Question:
Choose 50544 For a Robotic UPJ Obstruction Repair
Question:How would I code a robotic ureteropelvic junction repair?Florida SubscriberAnswer:You should report CPT 50544 [...] - Reader Question:
Save Time-Based E/M for Counseling/Coordination Heavy Visits
Question:If the physician documents: "Time spent in the evaluation of the patient with mostly medical [...] - Reader Question:
Report Two Codes for Combined, Not Converted Procedure
Question:My urologist does what he calls a robotic assisted nephroureterectomy. He removes the kidney and robotically [...] - Reader Question:
Bladder Neck Incision, BNI, Coding Depends on Cause
Question:What code should I use when my doctor writes only "TUIBNC"?Wisconsin SubscriberAnswer:The coding for an [...] - Reader Question:
50820 For Ileal Neobladder or Just Ileal Conduit?
Question:What is the difference between a neobladder and ileal conduit?For an ileal conduit I bill [...] - Reader Question:
Capture EpiPen® Kit Pay With J0171
Question:We used the EpiPen® kit in the office for a patient who experienced an allergic [...]
