Advanced Search

Urology Coding Alert

Clip and Save:

Work Your Way Down the Path to Proper Orchiopexy and Hernia Repair Pay

Published on Tue Dec 18, 2012

Keep a copy of the handy chart close by to ensure you choose the right codes every time. When your urologist performs an inguinal orchiopexy and a hernia repair in the same surgical session, you can report both procedures. Work your way through the following questions to determine which codes you should report based on your physician’s work. Flow Sheet for Up-to-Date Treatment of the Undescended Testicle Note: The order in which you sequence the orchiopexy and hernia repair codes will vary depending on which hernia repair code you use. Remember to place modifier 51 (Multiple procedures) on the orchiopexy code when you report 49496 or 49501-49525 as these hernia repair codes have higher relative value units (RVUs) than 54640, and you should bill the hernia repair as the primary procedure. On the other hand, add modifier 51 to the hernia code if you’re reporting 49495 or 49500 with the [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Urology Coding Alert

View All