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Urology Coding Alert

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Getting Reimbursed for Botulinum Toxin A for Overactive Bladder: When and How?

Question: The urologist attempted to administer Botox to treat a Medicare patient’s overactive bladder. She did not tolerate the procedure in the office and would prefer to have the instillations performed in the hospital under anesthesia. Would Medicare cover the treatment under this circumstances? Michigan Subscriber Answer: Medicare should cover under such circumstances, using the correct CPT® code 52287 (Cystourethroscopy, with [...]

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