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Penile Fx

  1. #1
    Default Penile Fx
    Medical Coding Books
    Has anyone ever had to code for a penile fx? I am having the hardest time trying to locate a code.

    Thanks
    Sincerely,

    Kristie Stokes, CPC, CPMA, CCS, CMDP, ICDCT-CM

    AAPCCA Board of Directors 2014-2017
    Region 1 - Northeast
    Maine, New Hampshire, Vermont, Massachusetts, Connecticut, Rhode Island, New York

    Today, give a stranger one of your smiles. It might be the only sunshine they see all day.

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    Diagnosis code? 959.13

  3. Default
    I agree 959.13

  4. #4
    Default
    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
    Sincerely,

    Kristie Stokes, CPC, CPMA, CCS, CMDP, ICDCT-CM

    AAPCCA Board of Directors 2014-2017
    Region 1 - Northeast
    Maine, New Hampshire, Vermont, Massachusetts, Connecticut, Rhode Island, New York

    Today, give a stranger one of your smiles. It might be the only sunshine they see all day.

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

  6. #6
    Location
    North Carolina
    Posts
    3,126
    Default
    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.

  7. #7
    Default
    Ok, that's what we were thinking also that we need to send the notes in for consideration. Thanks for all your help
    Sincerely,

    Kristie Stokes, CPC, CPMA, CCS, CMDP, ICDCT-CM

    AAPCCA Board of Directors 2014-2017
    Region 1 - Northeast
    Maine, New Hampshire, Vermont, Massachusetts, Connecticut, Rhode Island, New York

    Today, give a stranger one of your smiles. It might be the only sunshine they see all day.

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