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E/M VISIT AND UROFLOWS

Belen Posted Wed 04th of April, 2012 16:59:27 PM

Can we perform uroflows 51741,51798 and then do an E/M visit with the patient to go over the results on the same day?

SuperCoder Answered Wed 04th of April, 2012 19:13:19 PM

CPT code 51798 and 51741 has an “XXX” global period, which means that the global concept does not apply.
This procedure should be treated as a radiological procedure and be reimbursed in addition to any surgical procedure or E/M service. The postvoiding residual urine diagnostic test is a tool to diagnose problems of the bladder that cannot be established through only an evaluation and management service.

If your carrier denies your claim of 51798 with an E/M service, the AUA recommends that you append modifier -25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service) and appeal.

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