Urology Coding and Reimbursement Podcast
The Urology Coding and Reimbursement Podcast is for Urologists and urology practice staff: Administrators, APPs, Billers and Coders. We help urologists and staff achieve peak economic and practice efficiency so there is time and energy to focus on patient care and a happy life. Your cohosts, Mark, Scott and Dr. Ray Painter discuss urology coding and share best practices for the urology office. We will answer submitted urology coding questions so that you can learn the concepts and apply in your practice. Learn the best practices: urology coding, revenue cycle management, scheduling, collections, patient information collection, pre-authorization, prior approval, charge capture, office communications, claim entry review, appeals, audits and billing, that we have tested and proven so you can adapt and incorporate.
Urology Coding and Reimbursement Podcast
UCR 181: FAQs - Hospital E/M Codes, Ureteroneocystostomy coding, and Pelvis Exam Clarification
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Episode 181
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February 2, 2024
Ray, Mark, and Scott answer and discuss the following questions:
- The seminar this past week was great. I have one question that I asked during the seminar but still not sure of the correct answer. For an initial hospital consultation, I have been using 99223 and generally 99232 for follow up visits. Is this correct.
- Seeking clarification for the best way to code:
- Ureteroneocystostomy; anastomosis of single ureter to bladder with vesico-psoas hitch
- --Robotic approach
- is it an unlisted code or 50948? Thank you in advance :)
- I've received several questions recently on whether or not certain procedures can be performed in office by an APP alone (51720, 95972, Eligard/Firmagon injections etc.). Most codes as long as they are not surgical can be performed by an APP since they are a qualified healthcare provider, correct? Not sure where I can find info on this. I did check state statutes but found nothing specific about which procedures. Thanks!
- If a patient comes in for routine SPT change or lupron injection, and provider states return in a week or month for next change or injection, is that enough for a modifier -25 to billed?
- For the 99459 we have a gynurologist she does pelvic exams on almost all her patients unsupervised can we still add this code to her visits? Thank you
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