Comprehensive UTI panel

heatherj

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Spring Hill, TN
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Can anyone compare a comprehensive UTI panel's code set with ours?
I'm trying to paste a copy of the panel, will try in the comments.
We've got 87481 x5 , 87500 , 87640 , 87641 , 87653 , and 87798 x13.

I would LOVE any thoughts!! Thanks!!
 

heatherj

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Spring Hill, TN
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PATHOGENS:
Acinetobacter baumannii
Actinobaculum schaalii
Aerococcus urinae
Candida albicans
Candida glabrata
Candida tropicalis
Candida parapsilosis
Candida krusei
Citrobacter freundii
Citrobacter koseri
Corynebacterium urealyticum
Enterobacter cloacae complex
Enterococcus faecalis
Enterococcus faecium
Escherichia coli
Klebsiella (Enterobacter) aerogenes
Klebsiella oxytoca
Klebsiella pneumoniae
Morganella morganii
Pantoea agglomerans
Proteus mirabilis
Proteus vulgaris
Providencia stuartii
Pseudomonas aeruginosa
Serratia marcescens
Staphylococcus aureus
Staphylococcus epidermidis
Staphylococcus saprophyticus
Streptococcus agalactiae
Streptococcus anginosus
 

heatherj

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Spring Hill, TN
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Antibiotic Resistance Genes
[CPE], [ESBL], [VRE]
CTX-M
Imipenemase (IMP)
Klebsiella pneumoniae carbapenemase (KPC)
New Delhi Metallo-beta-lactamase (NDM)
Verona Integron-encoded Metallo-β-Lactamase (VIM)
Oxacillinase-48 (OXA-48)
vanA
vanB
MRSA- SA, mecA, mecC
 

danachock

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Brainerd, MN
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Hello heatherj;
I so do apologize that reviewing this for over an hour I wasn't able to identify the correct CPT assignment in your questions this evening.
So, may I simply offer some advice please?
When I review your scenario - was this comprehensive UTI panel performed "in house" - did your facility perform it OR WAS THIS a send out to another facility and if so, which one?
I am so excited that you are questioning and validating all these charges!! I would be too!!
The only reason I am asking is that whoever ran this urinalysis testing possibly has a "lab catalog" to review and support billing all these charges. I have had plenty of laboratory denials especially on a send out specimen that I relied on the information from where we sent it to and their facility along with their catalog to validate that is why we are billing the charges we are. Most coders don't know of this ability to google their facility and find the laboratory or pathology, or cytogenetics or molecular testing performed at their facility. I utilize this tool for every client I work for to ensure accurate coding. With 13 charges for 87798 CPT code - you may still have some hurdles even though it wasn't past the MUE (medical unlikely threshold). Keep doing what you are doing and question and absorb it all. You are doing a fantastic job in my opinion.
Have a fantastic evening,
Dana Chock, CPC, CANPC, CHONC, CPMA, CPB, RHIT
 
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