prostate

  1. P

    Wiki MRI Prostate Fusion Biopsy

    What code are you reporting for MRI prostate fusion biopsy? I know that there is no specific code for this procedure. I have been reporting 55700. I was recently told to report 55899 instead. However, Medicare does not pay us on unspecified codes ending in 99. Just curious as to what others are...
  2. J

    Wiki 96402 denied for prostate cancer diagnosis

    BCBS of IL is denying 96402 when billed for C61, prostate cancer. The denial states "missing/invalid diagnosis or condition". I have found that they are paying J9217 from the drug, but not 96402 and they have the same diagnosis code. I have been unable to locate any policy to explain this. Does...
    • jball
    • Thread
    • general coding prostate urology coding
    • Replies: 2
    • Forum: Urology
  3. D

    Wiki Immunohistochemistry Antibody Coctail Billing- Urology/Prostate

    For my prostate reports I have 12 specimens A - L. Under the diagnosis my pathologist states: "Immunohistochemistry antibody cocktail has been utilized on specimens (A & B) to evaluate foci of atypical glands. P504S is overexpressed and high molecular weight cytokeratin (CK14) & P63 show a...
  4. E

    Wiki Cancer coding primary vs. secondary - My confusion.

    I haven't coded cancer for a practice before, as I'm usually coding for pain management, but these scenarios are subsequent hospital visits billing for physician visits. Below are the physician's ENTIRE dictation at each encounter, but I'm ONLY confused as to what I am coding for the CANCER...
  5. S

    Wiki established pt. - consult

    I work in an Oncology clinic and our Dr. has been seeing a pt. for Multiple Myeloma which is now in remission. His last follow-up on that problem was in Jan. of 16. He has done a Consult (99205), Jan. 2016 on the same pt. for another Dr. for a different dx. (prostate cancer). Can you charge...
    • shelly1966
    • Thread
    • 2016 cancer consult jan prostate
    • Replies: 2
    • Forum: E/M
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