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Urology Coding Alert

Coding Update:
Countdown to E/M Changes in 2021 Has Begun; Here’s Your High-level Look
Hint: Time calculations will be much different in the future. Big changes will be coming ... Read more
Coding Basics:
Pay Attention to Details to Prevent Denials Due to Careless Mistakes
These two things are simple, but have a powerful effect on success. Documentation that g... Read more
Compliance:
Yes, Your Risk Assessment Tool Can Be Unique to Your Practice
Don't worry: You aren't required to follow a certain form. Forms and rule sets are an eve... Read more
You Be the Coder:
Count Parts for Prosthesis Implant Coding
Question: Which code should I report for a two-piece penile implant? I use 54400 for a one... Read more
Reader Question:
Check PSA Status Before Reporting Only C61
Question: We have a patient who had a radical prostatectomy for prostate cancer four years... Read more
Reader Question:
Turn to 51999 for Colovesical Fistula Repair
Question: What is the appropriate code to report a laparoscopic sigmoid colectomy with rep... Read more
Reader Question:
Don’t Bill the Payer for No-Shows
Question: My office has had an uptick in no-show patients. One of my coders says that he c... Read more
Reader Question:
Report 74415 Over 74420 for Treatment of Same Area
Question: One of the urologists at our facility documented that while doing a scouting fil... Read more
Reader Question:
Follow Payer Policy on How Often to Report 52648
Question: A patient had two Greenlight vaporizations of the prostate (52648) about 15 mont... Read more
Reader Question:
Follow These Points to Help Protect PHI
Question: I'm always concerned about protecting our patients' health information, especial... Read more
Lab Focus:
Keep These 2 Tips in Mind When Submitting a Urinalysis Claim
Remember that separate E/M code is allowed. No matter how commonplace a test your urologi... Read more
Coding 101:
Know the Ground Rules for Reporting Modifier 53
Hint: Specific details will help bolster your case. No matter how many times a surgeon pe... Read more
Procedure Focus:
Keep These Points in Mind When Counting Stones for Coding
Hint: Start with the number of structures. Coding for multiple urinary stones can seem co... Read more
Reader Question:
Select Ureteroneocystostomy Code Based on Other Services
Question: How should I code an extravesical ureteroneocystostomy the urologist performed l... Read more
Reader Question:
Stick with the Provider’s Documentation for Diagnosis
Question: I've got a report without a diagnosis that meets the CPT® code's Local Coverage... Read more
Reader Question:
Hernia Repair Includes Work of Hydrocelectomy
Question: The physician planned to perform a hydrocelectomy but I don't find documentation... Read more
Reader Question:
Ileal Loop Without Cystectomy Leads to ‘Unlisted’
Question: Does CPT® include a code for creation of an Ileal loop urinary diversion withou... Read more
Reader Question:
Include Multiple Diagnoses for Immunosuppression Care After Transplant
Question: After a kidney transplant, can the urologist bill for immunosuppression during t... Read more
Reader Question:
Confirm Global Period Days Before Adding Modifiers
Question: The urologist performed a ureteral stent placement. Later that evening he was ca... Read more
You Be the Coder:
Verify This to Determine MMK or Burch
Question: I am new to urology coding and am having trouble distinguishing between an MMK p... Read more
Diagnosis Coding:
Avoid the Trap of Assigning N39.0 for Every UTI Diagnosis
Hit: Check whether other anatomic sites are involved. While a urinary tract infection (UT... Read more
Surgical Focus:
Are You Using These 2 Codes for Penile Repair?
Watch for the type of injury — and don't confuse it with exploration. Coding for penile... Read more
Compliance:
Fitness Trackers Might Have More Regulations Coming
Lawmakers are looking at ways to keep HIPAA on pace with technology. Healthcare apps, fit... Read more
Reader Question:
Remember That 50948 Service Includes 50650
Question: We performed a robotic assisted laparoscopic distal left ureterectomy, psoas hit... Read more
Reader Question:
Turn to D49.59 for Pending PSA Results
Question: How should I code an extravesical ureteroneocystostomy the urologist performed l... Read more
Reader Question:
Add Modifier 62 for Case Involving 2 Surgeons
Question: One of our urologists performed a joint case with a general surgeon which involv... Read more
Reader Question:
Ultrasound Guidance Is Not Separate from Lithotripsy
Question: Is ultrasound guidance and/or fluoroscopy included in the procedure code when my... Read more
Reader Question:
Turn to D49.59 for Pending PSA Results
Question: What ICD-10 code is correct to indicate the pathology is still pending for a pro... Read more
Reader Question:
Code 13160 Applies to Scrotal Wound Dehiscence
Question: I'm attempting to code a case for closure of a scrotal wound based on this docum... Read more
Reader Question:
Report 52317 for Litholopaxy
Question: I'm looking for help coding for an excision of exposed urethral sling mesh via l... Read more
Reader Question:
Shunt Drainage Points to Best Priapism Code
Question: What are the best surgical codes for priapism? I don't understand how to differe... Read more
Reader Question:
Append Modifier 52 When Full Procedure Isn’t Performed
Question: The patient's Mitrofanoff stoma stenosed near the bladder end of the stoma. Our ... Read more
You Be the Coder:
Reporting Ureteral Stent Placement Via Ileal Conduit
Question: The urologist placed a ureteral stent via the patient's ileal conduit. He insert... Read more
Procedure Focus:
4 Tips Ensure You’re Correctly Coding Botox Injections for Urinary Dysfunction
Warning: Don't assume the diagnosis is overactive bladder. Urologists sometimes opt for B... Read more
Coding Update:
Prepare Now for Fee Schedule Changes Will Affect Your Practice
Here's the latest on what to expect in 2020. There's a lot to interest urology coders in ... Read more
Practice Management:
Be Wary of PHI Disclosures, or Potentially Pay the Price Later
Don't let incidental info sharing get your practice in hot water. Protecting patients' pe... Read more
Reader Question:
Skip Billing Xylocaine Jelly as Local Anesthetic
Question: When our urologists perform a trans-urethral destruction of prostate by rad... Read more
Reader Question:
Include Full Documentation for Circumcision in Office
Question: Our urologist performed a circumcision on an infant during an office visit. Sinc... Read more
Reader Question:
Submit Multiple Units of J9030 for Instillation
Question: Can you explain to me how to code a full-vial dose (50 mg) of BCG treatment for ... Read more
Reader Question:
Report Testosterone Pellets Based on Payer Preference
Question: Our office had been using the Testopel pellets (75mg) and billing with S0189. No... Read more
Reader Question:
Check Before Coding Pelvic Exam Separately
Question: The urologist performed cystourethroscopy, removed the scope, and then performed... Read more
Reader Question:
Don’t Be Too Quick to Bill Catheter Supplies
Question: Can we bill for catheters if the patient couldn't be catheterized? The patient w... Read more
Reader Question:
Capture Lysis of Adhesions with Repair With a Single Code
Question: Are lysis of penile adhesions and repair of penile skin bridge the same procedur... Read more
You Be the Coder:
Correctly Report Ureteral Stump Biopsy
Question: I am coding for biopsy of a ureteral stump that seems to have grown into the bla... Read more