Results 1 to 4 of 4

Can 51800 be billed with 55866??

  1. #1
    Default Can 51800 be billed with 55866??
    Exam Training Packages
    I have urologist who wants to bill a 55866 ( laparoscopic prostatectomy, retropubic radical, including nerve sparing and use of robotics if done) along with 51800 for a cystoplasty/cystourethroplasty. The group is located in Pennsylvania, does anyone have any insight on this?
    Thanks,
    Nancy G. Burch Nelson CPCA

  2. Default
    Per encoder, you should be able to bill for both with a modifier -51 on 51800.....

  3. #3
    Default
    Quote Originally Posted by bill2doc View Post
    Per encoder, you should be able to bill for both with a modifier -51 on 51800.....
    Thank you for your input. I had checked SuperCoder and it came up the same thing.

  4. Default
    I found this on
    http://www.auanet.org/eforms/hpbrief...fm?i=242&a=565

    Q. When performing a laparoscopic prostatectomy, can I also code for the bladder neck reconstruction?

    A. When performing CPT® code 55866 Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing it is not appropriate to code the 51800 Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus), any procedure, with or without wedge resection of the posterior vesical neck. Often there are times when the bladder neck must be reconstructed when performing a prostatectomy. Since the reconstruction needs to be performed as a result of the prostate being removed, it should not be coded separately. Effective January 1, 2011, CPT® code 55866 will read as Laparascopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed.

Similar Threads

  1. can this be billed together?
    By marycpc in forum General Surgery
    Replies: 2
    Last Post: 11-28-2011, 03:37 PM
  2. help can this be billed
    By perkins05 in forum E/M
    Replies: 2
    Last Post: 06-23-2011, 10:57 AM
  3. 55866 with a 51999???
    By mnowitzke in forum Urology
    Replies: 2
    Last Post: 11-17-2009, 02:12 PM
  4. Replies: 1
    Last Post: 04-24-2008, 09:36 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.