Question: A patient has a sperm granuloma on the end of his spermatic cord (stump) after he had the right testicle removed. The physician is going to do an inguinal incision and remove the rest of the spermatic cord. How should [...]
Question: My urologist saw a patient with testicular torsion. He was able to manipulate the testicles by hand to correct the problem. What is the right code for this procedure? New Hampshire Subscriber Answer: You should not report a procedure code [...]
Question: My urologist performed a left hydrocelectomy with excision of right sperm granuloma and extraction of a vasectomy clip on the left side. I am not sure of the proper coding. For example, should I use an unlisted code for the [...]
Modifier 22 is the choice for difficult removal during hernia repairMesh placement may be common during hernia repair, but you can only bill separately for the procedure in a minority of cases. Make sure you know what they are.1. Claim [...]
Question: My urologist performed a left testicular prosthesis placement and the operative report says "absent left testicle from prior orchiectomy." I can't seem to find an appropriate diagnosis code. How should I report this procedure?California SubscriberAnswer: The ICD-9 diagnosis code [...]
Question: How would you code Fournier's gangrene in a female patient? The Index to Diseases points to 608.83, but the Tabular says this is limited to male genitalia. -- Nevada Subscriber Answer: Women can indeed have Fournier's gangrene, a bacterial infection [...]
Question: How should I code the following procedure documented by the urologist: "Cystoscopy, injection of seminal vesicale with methylene blue under transurethral ultrasound, using transurethral ultrasound guidance, and unroofing of verumontanum and transurethral resection of ejaculatory ducts. Diagnosis: Low volume [...]
Question: A male patient underwent the following procedure, based on the urologist's notes: "Incision left perineum; purulent material removed, a deep dorsal 'slit' exposed glans, placed an indwelling number 14 french catheter for straight drainage, then opened entire cavity and [...]
Question: How should I code for a scrotal exploration with removal of hematoma? Alabama Subscriber Answer: You should report CPT 54700 (Incision and drainage of epididymis, testis, and/or scrotal space [e.g., abscess or hematoma]) for the drainage of the hematoma. [...]
Reviewed on May 27, 2015 Question: My urologist did a right inguinal exploration for a mass and a right testicular open biopsy. He excised a palpable massfrom the groin, and the frozen section showed no evidence of malignancy. I’m [...]
