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Urology Coding Alert

You Be the Coder:

Identify the Main Procedure for Proper Dx Coding

Published on Wed Feb 15, 2023

Question: Below is my provider’s surgical note. As documented, they performed a robot-assisted laparoscopic prostatectomy with bilateral pelvic lymphadenectomy and removal of foreign bodies. Our provider wants to bill 49402 for the removal of the Urolift implants with ICD-10-CM code T19.1XXA. The coders are comfortable with the CPT® codes for the procedure, but disagree on the diagnosis coding. Can you advise? Procedure: [...]
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