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Wiki urology coding question

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suzannereed

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I haven't gotten any responses under urology, so I am trying under general discussion. I have an unusual coding question. I need to code for the removal of a Dynaflex penile prosthesis where my doctor was the assistant surgeon. During the same operative session, after the removal, my doctor became the main surgeon and he then inserted a 2 piece inflatale penile prosthesis (Ambicor). Do I code the removal as 54415-80 and the insertion as 54401? It also seems to me that 54410 might be a better code, but how do I address the fact that my doctor was the assistant for the removal and the main surgeon for the implantation? Please help.
 
Since 54410 specifically states "at the same operating session" you can't unbundle the codes - I would bill it as 54410 with a 62 modifier: co-surgeons -and send all the documentation!
 
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