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Correct codes to use.

Maria Posted Tue 20th of January, 2015 14:56:12 PM

Please help. Thanks!

I placed a mid urethral sling 57288 on a patient on 1/14/15. This was at the same time as hysterectomy by a GYN surgeon.

The GYN requested that I perform cystoscopy for a possible right ureteral injury at the time of their surgery. This led to a retrograde pyelogram 52005 which diagnosed a transected ureter.

I then performed a right ureteral reimplant 50780.

I'm not sure how to bill correct but put on these codes in. If the ureteral reimplant was emergent and caused me to cancel my entire practice that day, is there a modifier? How can I also get paid fully for my sling which is completely unrelated diagnosis rather than a 50% reduced rate for multiple procedures. The sling was scheduled and unrelated to the emergent procedure.

SuperCoder Answered Thu 22nd of January, 2015 02:31:14 AM

We are researching and will get back to you ASAP. Thanks !!

SuperCoder Answered Thu 22nd of January, 2015 02:31:14 AM
SuperCoder Answered Fri 23rd of January, 2015 06:55:40 AM

There is no modifier to represent that an emergent procedure made you to cancel your entire day practice.

You should send a letter to your payer requesting full payment for both procedures explaining them the situation under which both procedures were performed.

Also, use different diagnoses for each procedure. It is on payer discretion to pay you or not.

Thanks !!

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