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revision of vesicourethral anastomosis

David Posted Wed 18th of February, 2015 17:28:48 PM

Need help coding diagnostic laparoscopy and revision of vesicourethral anastomosis.

SuperCoder Answered Thu 19th of February, 2015 04:16:10 AM

Use unlisted code, 53899, Unlisted procedure, urinary system. Thanks !!

David Posted Mon 18th of May, 2015 09:51:48 AM

What code would i put in for them to compare it to?

SuperCoder Answered Tue 19th of May, 2015 02:41:13 AM

We are unable to understand your question. Kindly let us know what exactly is your query? Thanks!

David Posted Tue 19th of May, 2015 12:45:19 PM

According to Supercoder this is how you use an unlisted code such as 53899:
When reporting a procedure with an unlisted code, submit a cover letter explaining the reason for choosing the unlisted code instead of a defined, active code. Include one or more similar codes, and compare your service to those codes to justify the claim amount you are billing. Also include the operative notes or other relevant documentation to strengthen the claim and to avoid a possible denial. Your payers will consider claims with unlisted procedure codes on a case by case basis, and they will determine payment based on the documentation you provide.

What similar code or codes should I use with 53899 for this surgery?

SuperCoder Answered Thu 21st of May, 2015 03:59:27 AM

To help you with similar codes, I would like to know for what condition was operation performed followed by vesicourethral anastomosis. What was the original procedure that was performed.

David Posted Thu 04th of June, 2015 10:46:58 AM

Patient had a Laparoscopic robotic prostatectomy the day before. He then developed urinary leak from vesicourethral anastomosis.

SuperCoder Answered Fri 05th of June, 2015 03:06:05 AM

Use CPT code 55866 with 78 modifier. 78 modifier has been added for unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period.

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