Advanced Search

Urology Coding Alert

Reader Question:

Get the Mo$t for a Doubleheader

Published on Fri Jan 02, 2004

Question: We diagnosed a patient complaining with cystitis. We performed a cystoscopy and urodynamics testing on the same day. Can we bill for both? Should we report two different diagnoses?

Pennsylvania Subscriber
 
Answer: Yes, you can do a cystoscopic examination on the same day as a urodynamic study and get paid for both procedures.
 
However, the complex cystometrogram (CMG) has a higher relative value unit and will be paid at 100 percent, and the cystoscopy at 50 percent. (Make sure you report the CMG first.)
 
You may have the same or different diagnoses for the procedures, depending on the clinical circumstances.
At times, the urologist may perform a cystoscopic exam at another sitting, hoping not to distort the urodynamics by irritating the bladder, which may occur with the cystoscopy.
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