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Urology Coding Alert

You Be the Coder:

Find Your Best 'Recurrent UTI' Diagnosis for 51798

Question: Medicare plans have been denying our claims for 51798 billed with a diagnosis of recurrent UTIs. I cannot find a local coverage determination (LCD) about this. What diagnoses should we be reporting? Wisconsin Subscriber Answer: Many payers (including Medicare) do not accept diagnoses of recurrent UTI such as N39.0 (Urinary tract infection, site not specified) or Z87.440 (Personal history of urinary [...]