Ob-Gyn Coding Alert

Question: We do urodynamic testing to determine the diagnosis for our patients, and whenever we submit our billing for this test, our payers ask us to submit the notes for these procedures. When we do the testing, the most common codes we use are 51726, 51784, 51795, 51797, 51772, and 51741. The payer reps say we should add modifier 51 to these codes. I was recently told that the reason for the audit of notes is because we use the 51741 as the fifth or sixth code and any time five or more "surgical" codes are submitted, the claim requires a review of notes. Should we use modifier 26 instead of 51? What is the best way to code these procedures? Connecticut Subscriber Answer: Unfortunately, you'll find no standard for urodynamic testing as payers determine how you should submit these claims. The best advice is to check your payers' specific [...]