Wiki Penile Fx

[KristieStokesCPC]

Has anyone ever had to code for a penile fx? I am having the hardest time trying to locate a code.

Thanks

 

[RebeccaWoodward*]

Diagnosis code? 959.13

 

[kfeltoncpc/cpch]

I agree 959.13

 

[KristieStokesCPC]

No, we are looking for a CPT code. He did not do prosthesis or a shunt. We looked at using 54440; however, it is not located on Medicare's fee schedule??

Thanks

 

[swagel]

I believe that would be 54440 with a dx code of 959.13

 

[RebeccaWoodward*]

This will probably become carrier priced. My carrier has an old policy that medical documenation is required in order to consider the claim. I imagine they'll be looking for medical necessity.

 

[KristieStokesCPC]

Ok, that's what we were thinking also that we need to send the notes in for consideration. Thanks for all your help