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52648

Sue Posted Mon 24th of August, 2015 17:54:48 PM

MY DOCTOR DID PROCEDURE 52648 LASER VAPORIZATION OF PROSTATE ON 12-18-14--DURING VAPORIZATION OF MEDIAN LOBE, VISUALIZATION BECAME SUBOPTIMAL, SO DR ELECTED TO TERMINATE PROCEDURE. HE BROUGHT PATIENT BACK ON 1-22-15 TO LASER THE MEDIAN LOBE AND SMOOTH OUT LATERAL LOBES
I BILLED 52648 FOR 12-18-15 AND 52648-58 FOR 1-22-15
THE INSURANCE HUMANA MCR PAID BOTH DATES, BUT NOW WANTS $$ BACK FOR 1-22-15 SAYING THE PAYMENT FOR 52648 ON 1-22-15 EXCEEDS ONCE IN A LIFETIME MAXIMUM BENEFIT.
DO I USE 52630 FOR 1-22-15?

SuperCoder Answered Tue 25th of August, 2015 01:16:03 AM

No, you cannot bill CPT 52630 for 1-22-15 as on that DOS, Laser vaporization of prostate was done not the TURP (Transurethral resection prostate).

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