Nancy Posted Wed 11th of September, 2019 11:00:02 AM
Colorectal surgeon does an inpatient procedure, Urologist asked to insert ureteral catheter which is on the outpatient list. Since patient surgery by Colorectal doctor is inpatient would the Urologist's procedure also be inpatient. I cannot seem to get an answer on this. Thank you
SuperCoder Answered Thu 12th of September, 2019 10:48:25 AM
Urologists are often called into surgery to place a ureteral catheter prior to surgery. They are meant to protect/ identify the ureter during surgery. Catheters are removed after the procedure is completed.
So, you can code urologist's procedure also be inpatient. When your urologist places ureteral catheter during colorectal surgery, payment for the catheter will depend on the medical necessity or reason for the ureteral catheter placements. In turn, this will depend on the diagnostic codes.
Only inpatient procedures are predefined by the Medicare, but catheter CPT does not lie in that list. So, you can check your specific payer policy and bill the procedures accordingly.
Please also check below link for reference: