• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Is 51990 a gender specific?

Create Wiki
T

tammarin

Guest
Messages
3
Best answers
0
When doing a robotic assisted laparoscopic radical prostatectomy he also performs an anterior urethropexy stitch and a bilateral lymphadenectomy.

I key 55866, 38571, and 51990, I use to have no problems getting paid for the 51990, now Medicare denies it stating does not correspond with their sex. I had my physician dicatate a letter and sent appeal, they were paying for it and now they are not.

Anyone have any suggestions?

Thanks
 
This isn't my specialty but there is a 2012 CPT Assistant that nearly mimics your coding and the question was pertaining to the male's genital system. The suggested codes were 55866 and 51990/51992 (depending on the scenario). Have you called Medicare to see if this is an internal edit issue that needs correcting?
 
tammarin said:
When doing a robotic assisted laparoscopic radical prostatectomy he also performs an anterior urethropexy stitch and a bilateral lymphadenectomy.

I key 55866, 38571, and 51990, I use to have no problems getting paid for the 51990, now Medicare denies it stating does not correspond with their sex. I had my physician dicatate a letter and sent appeal, they were paying for it and now they are not.

Anyone have any suggestions?

Thanks
Click to expand...

51990 is NOT gender specific
 
You must log in or register to reply here.
Top