Urology Coding Alert

Tips:
4 Tips Help Navigate Your Testosterone and Estradiol Pellet Insertion Coding
Hint: Remember to include J3490 or S0189 on your claim. If your urologist performs in-off... Read more
Quiz:
A Quick Quiz Answers All Your Pressing Hydrocele Questions
Hint: Include the infectious agent with code N43.1. When your urologist diagnoses a hydro... Read more
CDI:
Establish an Effective CDI Program With Expert Knowledge
Remember: Involve providers from beginning to end. At the 2021 RISKCON session, “Estab... Read more
Reader Questions:
Delve Into UroLift® Case
Question: The patient had a bladder neck obstruction. My urologist placed the scope in the... Read more
Reader Questions:
Heed These Vasectomy Guidelines
Question: Can you please tell me which ICD-10-CM code supports CPT® code 55250 (Vasectomy... Read more
Reader Questions:
Focus in on ESWL, Stent Scenario
Question: My physician placed a stent prior to performing extracorporeal shock wave lithot... Read more
You Be the Coder:
Learn How to Handle Urethrotomy With FBR
Question: My urologist performed attempted removal of a urethral foreign body. He performe... Read more
CPT®:
Follow 4 Simple Steps to Conquer UroLift® System Claims in Your Urology Practice
Hint: You should report +52442 with 52441 for each additional UroLift® implant. If your ... Read more
Quiz:
Test Your Hydronephrosis Smarts With a Quick Quiz
Report N13.6 for hydronephrosis with an infection. If your urologist treats patients for... Read more
Audits:
Handle Common Audit Issues by Developing Robust Audit Program
Hint: See which barriers you must overcome. During the 2021 RISKCON session, “Effecti... Read more
Reader Questions:
Decipher This Repair Scenario
Question: The patient had distal left prepuce 1.5 cm dilated penile thrombosed skin vein w... Read more
Reader Questions:
Consult Surgeon for Lesion Size
Question: According to the medical documentation, after verbal informed consent was obtain... Read more
Reader Questions:
Don’t Forget Modifier on This TUR Claim
Question: My urologist resected all visible bladder tumors across the posterior wall of th... Read more
Reader Questions:
Consider This Re-Admit Scenario With Care
Question: My urologist re-admitted a patient who had a suture of a urethral wound, 53502 (... Read more
Reader Questions:
Get More Information to Properly Report Case
Question: My urologist resected all visible bladder tumors across the posterior wall of th... Read more
You Be the Coder:
Check Payers for Modifier Preference
Question: I am new to urology coding, and I'm not sure if we are lacking the right documen... Read more
CPT® 2022:
Sort Through Adjustable Balloon Continence Device and Hypospadias Changes Before Jan. 1
Hint: You will see new code 53451 in 2022. When CPT® 2022 becomes effective on Jan. 1, 2... Read more
Quiz:
4 Crucial Questions Answer Your Most Common PSA Conundrums
Screening PSAs are only covered once a year. Your urologist probably performs multiple pr... Read more
Audits:
Learn How to Perform Successful Internal Billing Audits in Your Practice
When you run data reports, look for specific information. At the 2021 HEALTHCON session ... Read more
You Be the Coder:
Use Unlisted Code in This Instance
Question: The patient is a 12-year-old boy with a history of a foreign body on the penis. ... Read more
Reader Questions:
Rebill With Proper Codes
Question: Within the past few months, on two occasions my billing department submitted cla... Read more
Reader Questions:
Pinpoint Right Code for InterStim® Procedure
Question: I am still new to urology coding. How would you code an InterStim® lead and gen... Read more
Reader Questions:
Focus on Correct Option for Bladder Neck Incision
Question: Would an incision of a bladder neck contracture be coded as 52276 or 52214? Acco... Read more
ICD-10-CM Updates:
Add to Your Polyuria, COVID-19, and Cannabis Comprehension With These ICD-10 Revisions
Hint: You will get a new code for nocturnal polyuria. The Centers for Medicare & Medi... Read more
CPT®:
Take the Mystery Our of Adrenalectomy Coding by Following These 3 Steps
For an open approach, you should report code 60540. When you code for an adrenalectomy, ... Read more
Communication:
Foster Healthy Communication in Your Urology Office With This Expert Advice
Hint: Become an active listener. Recently at the 2021 HEALTHCON session “What's In a Wo... Read more
You Be the Coder:
Solve Tricky Stone Removal Case
Question: The urologist removed a left ureteral stone with semi-rigid ureteroscopy. He als... Read more
Reader Questions:
Decipher Tricky Pessary and Estring® Scenario
Question: For a Medicare patient, if my urologist fits/inserts a pessary, I should report ... Read more
Reader Questions:
Mind POS for Codes
Question: Can a physician report the following CPT® codes: 52352, 52353, 52356, and 52648... Read more
Reader Questions:
Understand How Balance Billing Works
Question: What is going on with balance billing? Patients are constantly worried that our ... Read more
CPT®:
Consider These 4 Tips to Report Flawless Penile Prosthesis Claims in Your Urology Practice
Hint: Make sure you know whether a non-inflatable or inflatable prosthesis was inserted. ... Read more
ICD-10-CM:
Handy Rules Boost Neurogenic Bladder ICD-10-CM Reporting Skills
Hint: Neurogenic bladder is the same condition as neuropathic bladder. Reporting diagno... Read more
Quiz:
7 Questions Test Your Medicare Provider Signature Smarts
Remember: You should only use stamped signature for special case. In your urology practi... Read more
You Be the Coder:
Report E/M Service in This Case
Question: My physician initially attempted to pass a catheter using tactile guidance but c... Read more
Reader Questions:
Nurse Can Perform These Services
Question: Can codes 51700 (Bladder irrigation, simple, lavage and/or instillation) and 517... Read more
Reader Questions:
Report 54408 Only Once
Question: My physician had to re-route the tubing of a penile prosthesis. He did not repla... Read more
Reader Questions:
Solve This Debridement Conundrum
Question: On the inferior aspect of the scrotum and midline, there was roughly a 4.5 x 3 c... Read more
Reader Questions:
Report Appropriate Codes for an Illeoscopy, Double Stent Exchange
Question: My urologist performed surgery for an exchange of a double-J stent. This patient... Read more
Reader Questions:
Learn POS Surgeon Codes
Question: Could you please clarify what the POS codes are that surgeons might use and how ... Read more
Reader Questions:
Append Modifier 62 Under These Circumstances
Question: I'm new to coding. When should I append modifier 62? Wisconsin Subscriber Ans... Read more
Reader Questions:
Never Report Duplicate Claims
Question: We have several claims that our payer is taking more than 30 days to process or ... Read more
Pediatric Urology:
Check Medical Documentation for Number of Stages, Type of Repair When Reporting Hypospadias Procedures
Hint: Differentiate between initial repair versus repair of complication. If your urologi... Read more
FAQs:
5 FAQs Solve Your Most Pressing Urethral Stricture Coding Conundrums
Remember: You should report N35.028 for females only. Reporting ICD-10-CM codes can be ve... Read more
Compliance:
Follow 5 Tips to Create Effective Compliance Policies in Your Practice
Don't forget: Strive to build a positive culture of compliance. Recently, at the 2021 HEA... Read more
Reader Questions:
Mind Global Period With Voiding Trial
Question: If my physician performs a voiding trial and an office visit seven days after a ... Read more
Reader Questions:
Decipher This Ureteroscopy Scenario
Question: My physician performed removal of a nephrostomy tube, an antegrade ureteroscopy ... Read more
Reader Questions:
Always Check NCCI Edits
Question: After informed consent, my physician inspected the meatus and phallus. At this t... Read more
Reader Questions:
Solve Ureteroscopy, Cystoscopy Puzzle
Question: My urologist performed a right antegrade flexible ureteroscopy, cystoscopy with ... Read more
Reader Questions:
Only Report What’s Documented
Question: If the documentation just stated that my urologist inserted a Coude catheter, ca... Read more
Reader Questions:
See What OIG Focuses on
Question: Does the Department of Health and Human Services Office of Inspector General (OI... Read more
Reader Questions:
Make Sure to Append Modifier 22 Here
Question: My physician performed a robotic-assisted laparoscopic right partial nephrectomy... Read more
You Be the Coder:
Settle This Cystourethroscopy Debate With Ease
Question: My urologist prepped and draped the patient in a normal sterile fashion. He inse... Read more
CPT®:
Remember to Report Associated Imaging and Other Related Procedures During PCNL
Hint: The work for code 50432 already includes a nephrostogram. If a patient has kidney o... Read more
Quiz:
5 Questions Clear Up Your CKD ICD-10-CM Coding Challenges
Report N18.2 for stage 2 CKD. If your physician treats cases of chronic kidney disease ... Read more
NCCI Basics:
Follow Handy Primer to Conquer NCCI PTP Edits in Your Urology Practice
Hint: Be very careful when using a modifier to break an edit. Anytime you submit claims ... Read more
Reader Questions:
Heed TURP Advice
Question: I have a patient that had Aquablation® done (0421T), and the following day the ... Read more
Reader Questions:
Check Medical Documentation for Biopsy Details
Question: My surgeon performed a testicle biopsy, frozen section intraoperative. The resul... Read more
Reader Questions:
Treat Unprocessable Claims This Way
Question: We received an “unprocessable” claim from our Medicare administrative contra... Read more
Reader Questions:
Report Multiple Codes on This Claim
Question: The physician inserted a transrectal ultrasound (US), and the prostate was measu... Read more
Reader Questions:
Decipher Challenging Cystourethroscopy Scenario
Question: My physician carried out a flexible cystoscopy. The anterior and posterior ureth... Read more
You Be the Coder:
Puzzle out Correct Modifier to Break NCCI Edit
Question: I'm having a difficult time understanding the NCCI edits between codes 52346 and... Read more
Case Studies:
Code Carefully for Modifier 22 Reporting for Abdominal Adhesions
Apply this practical real-world scenario into your day-to-day coding. Modifier 22 (Increa... Read more
ICD-10-CM Coding:
Ensure Compliant ICD-10-CM Coding With These Helpful Tips
When in doubt, always query your providers. Continuing your evolution as an ICD-10-CM c... Read more
Modifiers:
Follow This Advice for Smooth Modifier 25 Sailing
Stick to the same script despite new 2021 E/M guidance. Knowing when, or even if, you ca... Read more
Reader Questions:
Check Coding Guidance for Bilateral FNA Biopsy Services
Question: Our provider performed a bilateral percutaneous renal needle biopsy of both kidn... Read more
Reader Questions:
Stay Up-to-Date on ICD-10-CM Guidelines for CKD
Question: I'm confused by the new ICD-10 codes N18.31 and N18.32. I don't see anything in ... Read more
Reader Questions:
Adhere to CPT® Advice for MDM Bullet Point Reporting
Question: For medical decision making (MDM) coding, should you count the order and review ... Read more
Reader Questions:
Bank on These ABN Tips for Smooth Claims Processing
Question: Can you offer any guidance on how to properly submit advanced beneficiary notice... Read more
Reader Questions:
Compare Contrast These Inpatient Care E/M Services
Question: When Should I Use 99221-99223 or 99234-99236 for inpatient care? Texas Subscr... Read more
You Be the Coder:
Heed This Advice When Submitting NCCI-Bundled Comparison Codes
Question: Our provider performed a laparoscopic excision of an intra-abdominal secondary m... Read more
Operative Reports:
Convert This Cystoscope Report into Coder-Speak Using Battle-Tested Techniques
Rely on your knowledge of anatomy so nothing gets lost in translation. If detailed urolog... Read more
Virtual Check-Ins:
Clear Up Virtual Check-in Coding Confusion With This Handy Guide
Stick to one set of codes for reporting until the PHE ends. Even for those who did their ... Read more
Modifiers:
Consider Key Guidance on Modifier 24 Use With Urological Examples
See what role, if any, 2021 office/outpatient E/M changes may play in your coding. Report... Read more
Reader Questions:
Consider New MDM Guidance on Prior Test Results
Question: If a provider is billing based on medical decision making (MDM), not on time, ca... Read more
Reader Questions:
Factor in Key Details for Proper Modifier 78 Assessment
Question: I performed a penile implant revision several weeks ago due to mechanical malfun... Read more
Reader Questions:
Check CMS Guidance on Inpatient Telehealth Services
Question: Can we report inpatient telehealth evaluation and management (E/M) services to M... Read more
You Be the Coder:
Decipher Nephrostomy Exchange Verbiage in Op Report
Question: I'm working on an operative report that involves a laser ablation of ureteral ca... Read more
CPT® Coding:
Make Coding, Anatomical Distinctions Between Prostatic Laser Procedures
Take the help of a few key authoritative sources along the way. Prostate coagulation, vap... Read more
E/M 2021:
Highlight Fundamental Differences Between 2 New Prolonged Services Codes
See why CMS chose to adopt a new code in lieu of the existing +99417. Over the course of... Read more
Evaluation and Management:
Get Answers to Your Most Pressing FAQs on Inpatient E/M Services
Break down the key features of each respective code range. Hospital-based evaluation and... Read more
Reader Questions:
Confirm IV Contrast Administration for 74177
Question: How do I code for a patient who received an in-office computed tomography (CT) s... Read more
Reader Questions:
Use Modifier 53 When Health Is on The Line
Question: A patient opted against moderate sedation during a vasectomy, and the urologist ... Read more
Reader Questions:
Incorporate Op Note Details Into Final Diagnosis
Question: Our surgeon took a bladder biopsy using a cystoscope and in the op report descri... Read more
You Be the Coder:
Tackle This NCCI Edit Versus Authoritative Guidance Dilemma
Question: The provider performs a transrectal ultrasound (TRUS) in order to guide the inse... Read more
Final Rule:
Outline Crucial 2021 MPFS Final Rule Changes for Urology
Look beyond E/M to get the most out of the final rule. The 2021 Medicare Physician Fee S... Read more
Policy Changes:
See Impact of COVID-19 Relief Bill on Bottom Line & More
Rest easy after seeing this new code indefinitely suspended. With the long-anticipated ... Read more
Telehealth:
Ensure Compliant Telehealth Billing Through New PREP Act Amendment
Use these tips to avoid becoming an error rate statistic. Keeping track of the rules is i... Read more
Reader Questions:
Consider Washing for Cytology Synonymous with Biopsy
Question: I'm working on a surgical report that involves a right ureteroscopy, which I kno... Read more
Reader Questions:
Check ICD-10-CM Guidelines for Adverse Prescription Reaction Dx
Question: I'm working on an office visit for a patient previously treated with antibi... Read more
Reader Questions:
Know These Key Criteria for Consultation Coding
Question: Our physician offered consultation services to a patient who was in treatment wi... Read more
You Be the Coder:
Let Code Description Lead the Way for Unilateral Vasectomies
Question: I'm coding a procedure for a patient who received an in-office vasectomy. The ur... Read more
Guidelines:
Get Key Guidance on Balloon Continence Device Placement Procedures
Plus, see how to code for urinary diversion complications and use modifier 22 correctly. ... Read more
ICD-10-CM Coding:
Test Your Catheter Complication Competence With 2 Diagnostic Examples
See how the correct choice hinges on your knowledge of anatomy and terminology. Procedure... Read more
Strengthen Your Office/Outpatient MDM Coding With Some Essential Elements
Fire on all cylinders as you shift to the 2021 E/M office/outpatient guidelines. As the... Read more
Reader Questions:
Home in on Time, Method for In-Person Telehealth Follow-Up Visits
Question: If a visit starts as an audio-only telehealth visit and the patient then comes t... Read more
Reader Questions:
Check for RS&I Before Reporting 74420 With 52005
Question: Our urologist inserted a Rutner catheter into the left ureteral orifice and inst... Read more
Reader Questions:
Shy Away from A64 Without Confirmed STI Diagnosis
Question: Our provider wants to report code A64 when they test a patient for a sexually t... Read more
You Be the Coder:
Get to the Bottom of This Ureteral Stone Lithotripsy Scenario
Question: A patient with bilateral ureter stones underwent a cystoscopy and bilateral plac... Read more
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