Urology Coding Alert

Tip: Some payers may still want you to report a deleted CPT Code . Too much money paid out for deleted code 61793 means you might be stuck with an unlisted procedure code for Cyberknife prostate treatments -- and no pay, unless you can navigate payer-specific CPT coding rules. Turn to Unlisted Procedure Code In the past, you reported a new prostate radiation therapy with Cyberknife technology using 61793 (Stereotactic radiosurgery [particle beam, gamma ray or linear accelerator], one or more sessions). Some payers --though not all -- were paying urologists a substantial fee for this code. Catch: There was, however, a question of what services or work the urologist actually provided when he worked in conjunction with the radiotherapist who was providing and billing for the radiosurgery. "Whether this represented correct or proper coding, nevertheless, the CPT code used by the urologist for the urologist's initial treatment with the radiation therapist [...]