UCR 066: FAQs - Code for Renal Pelvic Washings CORRECTION; Physical Exam: necessity and documentation; Vasectomy initial visit E&M level in 2021 Artwork

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.

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Urology Coding and Reimbursement Podcast

UCR 066: FAQs - Code for Renal Pelvic Washings CORRECTION; Physical Exam: necessity and documentation; Vasectomy initial visit E&M level in 2021

August 27, 2021 • Episode 66

August 27, 2021

Mark, Ray, and Scott discuss questions from the Urology Coding and Reimbursement Group

Question 1: 55 Seconds

CORRECTION - Renal Pelvic Washings CPT Code - 52005

Question 2 - minute 5:26

I need something in writing from Dr. Ray painter for my Urologist. I have this info from the AMA and Noridian both, but they want to hear it from you. We are told by Noridian and also the AMA who is the author of the CPT book that an Exam is still needed.

Question 3 - 22:56

What level E/M are you using for the new 2021 codes? Previously they did not have 4 HPI to meet a level 3 E/M, so we coded them to a 2. Now, they do not need to have 4 HPI. It is a major procedure, which is one of the two needed for a level 4. Do you consider a vasectomy consultation/permanent birth control a stable chronic (level 3 E/M) or a minor problem (level 2 E/M)? I listened to the podcast twice and didn't get a clear answer.

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