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Urology Coding Alert

Reader Questions:

You Won't Need to Unbundle Therapy Codes

Published on Fri Mar 06, 2009

Question: We have a new doctor and new nurses who are performing pelvic floor therapy and are not sure how to code. I don't know if I need modifiers or whether unbundling is allowed for all of these codes: 99211, 97750, 91122, 51784, 97032. Can you please tell me how to report these services? Michigan Subscriber Answer: You have chosen the proper codes. You should report pelvic floor therapy services as follows: • 99211 (Office or other outpatient visit for the evaluation and management of an established patient ...). Append modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service) to show your payer that the E/M service is separate from the surgical procedure you'll also bill. • 51784 (Electromyography studies [EMG] of anal or urethral sphincter, other than needle, any technique) • 91122 (Anorectal manometry) • [...]
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