Urology Coding Alert

You Be the Coder:

Getting Reimbursed for Botulinum Toxin A for Overactive Bladder: When and How?

Question: The urologist attempted to administer Botox to treat a Medicare patient’s overactive bladder. She did not tolerate the procedure in the office and would prefer to have the instillations performed in the hospital under anesthesia. Would Medicare cover the treatment under this circumstances? Michigan Subscriber Answer: Medicare should cover under such circumstances, using the correct CPT® code 52287 (Cystourethroscopy, with [...]
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