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 186: FAQs - Bladder neck resection or TUIP; LT/RT ureteral reimplant; and Lipiodol injection coding
•
Mark Painter, Scott Painter and Dr. Ray Painter
•
Episode 186
Use Left/Right to seek, Home/End to jump to start or end. Hold shift to jump forward or backward.
March 8, 2024
Mark, Scott, and Ray discuss questions that came into the PRS Network.
- Hello all, I have a CPT coding question,
- Indications = Urinary Obstruction // Post-Op DX = Obstruction of neck of Urinary Bladder
- Resectoscope per urethra into the bladder under direct vision. There was moderate trabeculations with no evidence of mass or stones. The bladder neck was noted to be elevated as seen on prior clinic cystoscopy. This was causing obstruction of the bladder outlet without significant prostatic hypertrophy.
- The bipolar resectoscope was used with the plasma button attachment to perform a TUIP at 5 o'clock, vaporizing the bladder neck fibers until the bladder neck was able to open properly and drain appropriately. Electrocautery was used for any small bleeding vessels and hemostasis was adequate at the end of the procedure.
- The recommended Code is: 52450, but the Coder is recommending Code: 52500.
- We're also taking Codes: 52276 & 52214 into consideration.... Please advise on what you recommend with the Rationale. Any assistance is greatly appreciated.
- I completed a tapered ureteral reimplant 50783 on the left and a standard Non tapered ureteral reimplant on the right 50780 - does adding LT and RT modifiers allow both codes to be billed as follows:
50783 LT
50780.51.RT
does adding R /L mods address the bundling issue?
Coders noting that 50783 includes 50780 -- however this is 2 different sides and can't bill bilateral tapered 50783.50, as only tapered one side, and bilateral reimplant 50780.50 is undercoded for the additional time and complexity of ureteral tapering - Has anyone billed for bladder injection of Lipiodol before? I have a provider who resected a large bladder tumor, then injected Lipidol in and around the resection site to aid with the patient's radiation planning for invasive bladder cancer. I was thinking this may be included in the 52240, but the office is suggesting unlisted code 53899 benchmarked to 52287 or 52283. Thoughts?
Registration is open for the Documentation for Coding and Reimbursement for APPs Course - Starts 3/11/24
Click Here for Information and to Join
PRS Billing and Other Services
Click Here to Get More Information and Request a Quote
The Thriving Urology Practice Facebook group.
The Thriving Urology Practice Facebook Group link to join:
https://www.facebook.com/groups/ThrivingPractice/
Join the discussion:
Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.