Urology Coding Alert
Take the Ache Out of This Orchiopexy Procedure
Question: Is it appropriate to use CPT® code 54640 for a case of retractile testis? The patient’s testicle is typically descended but occasionally relocates into the inguinal canal. AAPC Forum Subscriber Answer: You are correct. The appropriate code to report for the commonly performed “transcrotal” orchiopexy for retractile testicles is 54640 (Orchiopexy, inguinal or scrotal approach). Don’t miss: If you needed to report fixation (orchiopexy) of an intra-abdominal testicle via an open abdominal approach, report 54650 (Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)) instead. Also, If an orchiopexy of an intra-abdominal testis using a laparoscopic approach is performed, report 54692 (Laparoscopy, surgical; orchiopexy for intra-abdominal testis). For procedures performed on both testes, report the appropriate orchiopexy procedure code with modifier 50 (Bilateral procedure).
Urology Coding Alert
- Ask an Expert:
Polish Up Coding For PCNL Procedures
Check out this scenario to stay in the game. If you’re like most urology coders, [...] - Coding Quiz:
Determine Your Level of Flank Drainage Knowledge
Modifier 57 will come in handy when coding these procedures. When your urologist carries out [...] - Compliance:
Maintain Telehealth Compliance in Your Post-PHE Practice
Vendors under contract are also obligated to adhere to HIPAA rules. Telehealth services have become [...] - You Be the Coder:
Cut the Confusion From This Bladder Tumor Removal Case
Question: My urologist carried out a cystoscopy and transurethral resection of bladder tumors with fulguration on [...] - Reader Questions:
Take the Ache Out of This Orchiopexy Procedure
Question: Is it appropriate to use CPT® code 54640 for a case of retractile testis? The patient’s [...] - Reader Questions:
Resolve This SP Tube Polyp Procedure
Question: After prepping and draping the patient in standard manner and administering monitored anesthesia care (MAC), [...] - Reader Questions:
Grasp the 5 Levels of Appealing Medicare Denials
Question: I filed a claim for a Medicare Part B patient with my Medicare Administrative Contractor [...]
