mary. Posted Thu 30th of October, 2014 16:30:11 PM
Is there a separate charge for 'post void residual' when performing a renal sonogram?
SuperCoder Answered Fri 31st of October, 2014 07:27:14 AM
Thank you for your question.
At the AUA annual meeting, the Health Policy council recommended that, if the intent of your exam is to check residual urine, then you should use the 51798 code whether you are using an imaging or non-imaging machine. The council felt that the radiological (76775 or 76857) code should be reserved for exams in which the intent was to ultrasound the bladder wall.
In those cases, the bladder would be purposefully filled with fluid or urine as opposed to being "post-void." If one performs an ultrasound post-voiding and there is no residual urine, one cannot adequately check the bladder wall, etc.
According to AUA, recommended coding would be 51798 for the check of residual urine for both the imaging and non-imaging machine. My recommendations are to follow the AUA's recommendations."