Advanced Search

Urology Coding Alert

Reader Questions:

Check Payer Policies for Modifier Use

Published on Wed Jul 13, 2022

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 Revenue Cycle Insider
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

Related Articles

You Be the Coder: Coding Prostate Biopsies for Medicare Claims

Reader Question: Remember Edits Prohibit Reporting 54600 and 54620 Together

Reader Question: File 50548 for Laparoscopic Total Nephroureterectomy

Other Articles in this issue of

Urology Coding Alert

ICD-10-CM 2023:
Prep for New 2023 Nephropathy, Endometriosis of Bladder and Ureter Diagnoses
Hint: Pay attention to “Code also notes.” The Centers for Medicare & Medicaid Services (CMS) [...]

CPT®:
Navigate Circumcision Reporting With 3 Handy Tips
Never append modifier 63 to 54160. When your urologist performs a circumcision, you must check [...]

Billing:
Follow Expert Advice to Become a Pro at Negotiating Payer Contracts
Remember: Never give up. Payer contracts may not be a topic you want to think [...]

You Be the Coder:
Observe Correct Coding for DVIU Scenario
Question: The patient has had a radical prostatectomy, and the previous op note stated that my [...]

Reader Questions:
Check Payer Policies for Modifier Use
Question: Our payers in upstate New York deny urinalysis and electrocardiograms (EKGs) even with modifier 25 [...]

Reader Questions:
Differentiate Between Bladder Lesion Sizes
Question: If a “small” lesion is 0.5-2.0 cm, and a “medium” lesion is 2.0-5.0 cm, does [...]

Reader Questions:
Delve Into This Bladder Tumor Scar Situation
Question: This patient is at high risk for stage 1 urothelial cell carcinoma and is here [...]

Reader Questions:
Figure Out These Stone Procedures
Question: My physician insists that you can charge 52356 for lasering stone in the right kidney [...]

Reader Questions:
Pinpoint Pre-Op Ureteral Stent Placement Diagnosis
Question: My physicians frequently get asked to place stents for ureteral identification when patients are having [...]

View All