Urology Coding Alert

Question: What codes should we use for IVP (intravenous pyleogram) and KUB (kidney ureter bladder) for the physician and the ambulatory surgical center where the services will be rendered?

Anonymous Arizona Subscriber


Answer: Use code 74400 (urography [pyelography], intravenous, with or without KUB, with or without tomography) with a modifier -26 (professional component) for the physician and 74400 with modifier -TC (technical component) for the facility. Because code 74400 includes the pyleography, with or without the KUB you would bill the 74400 and you would not bill separately for the KUB.

Answers contributed by Thomas A. Kent, CMM, president of Kent Medical Management in Dunkirk, Md. and Susan Stradley, CPC, CCS-P, independent coding consultant based in North Augusta, S.C.