Wiki Urodynamic Testing Question - new coder here

[kgplucker]

Hi - new coder here....
I work in an OB office and we are having an issue getting our urodynamic testing paid without it being bundled. We are trying to code out a Uroflowmetry (51741), Cystometry (51726) and a Urethal Pressure Profile and Pressure Study (51729) and the 51729 comes back bundled. How should we be coding this? Thanks!

 

[Darlene Naumann]

I bill urodynamics all the time and nothing has been denied thus far. I bill 51729; 51797; 51741; 51784; and 81002.

 

[bonzaibex]

The 51726 is definitely included in the 51729. You bill one or the other, but not both. The 51726 is a plain old Complex Cystometrogram. The 51729 is Complex Cystometrogram with voiding pressure studies and urethral pressure profile studies.

Becky, CPC

 

[dan528i]

hello,
we bill 51729; 51741-51; 51784-51; 51797
Just make sure you do all the procedures before submitting all 4 cpt codes.

hopes this helps

 

[kgplucker]

Thanks for all the help! So I started coding 51729, 51741-51, and 51797-51. Just got an EOB back and they denied the 51797 saying the 51 is an incorrect modifier. ????

 

[gost]

51797 is an add-on code. All add-on codes are modifier 51 exempt.