Urology Coding Alert

Don't Let Catheter Coding Mistakes Drain Your Reimbursement

Tip: Check to see if an E/M code is appropriate for catheter removals. Catheterizations are commonplace in a urology office. But the coding for catheter insertions and removals has many nuances that can trip you up. Take a look at these expert tips to ensure you're capturing every catheter procedure dollar your urologist deserves. Choose From 3 Codes for Insertion When your urologist performs a catheter insertion, you'll choose from three codes, says Christy Shanley, CPC, billing manager for the University of California, Irvine department of urology. Look at the following codes: • 51701 -- Insertion of non-indwelling bladder catheter (e.g., straight catheterization for residual urine) • 51702 -- Insertion of temporary indwelling bladder catheter; simple (e.g., Foley) • 51703 -- ... complicated (e.g., altered anatomy, fractured catheter/balloon). You should only use 51701 for non-indwelling catheter procedures. "Simple" catheter insertion, drainage, and immediate catheter withdrawal fall into this category, Shanley says. [...]
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