Recent content by ckkohler

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    Wiki Anesthesia PLAN vs Anesthesia TYPE

    Thank you!
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    Wiki Anesthesia PLAN vs Anesthesia TYPE

    Good Day from Omaha, Nebraska. I code for a urology practice that contracts with an anesthesia group. The CRNA provides both GENERAL anesthesia as well as MAC. I have attached a redacted copy of the anesthesia record. Looking to find out which field we should be using for coding/billing the...
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    Wiki 44385 with 52000?

    Patient has a urinary small bowel pouch. I know to use 44385 when performing a cystoscopy - but do I also use 52000? I did once & Medicare did pay for both. I read an article...
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    Wiki Code 52315

    We use the 52315 for bilateral stent removals or if the physician dictates it was a difficult removal.
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    Wiki Interstim Modifiers?

    That is how I handle as well - modifier -50 for the PNE & anatomical modifier for the perm implant.
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    Wiki communicating hycrodelectomy in 5 y/o

    Did you ever get an answer? My notes indicate 55500 is the appropriate code. I know it's 10 years later! 🤦‍♀️
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    Wiki Coding bladder instillation (intravesical route)

    We use 51720 & whether the drugs are payable separately depends on the place of service. If a hospital setting - the instillation must be performed outside of the operative session (i.e. in recovery, PACU, etc); however, if performed in an ASC setting, the instillation is payable when performed...
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    AAPC Forums: New Look, New Features

    I do like the new look and color scheme. One thing I don't see, however, is a way to search for something within a specific forum. For example - I used to be able to go to the Modifiers forum and search within that forum for something specific. Please advise if I am missing it! Thanks!
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    Wiki Meatotomy with cysto

    Meatotomy w/cysto In our office, I've been trained to use 52281 for this combination. From the coding/billing supervisor.
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    Wiki Sacral neuromodulation for bladder and bowel control coding question

    Are you talking about the permanent implant? 64581 is for the permanent implantation of the device. We do them in our Urology ASC also - and in 5 years I've never seen them do the permanent on both sides??? The trial, 64561 is done bilaterally as they are trying to determine which side will...
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    Wiki Unilateral Retrograde Pyelogram

    Thomas, Thank you for your opinion. I am of the same...since the -LT and -RT are informational ONLY, I don't see the harm in entering them. It does signify to the payer that only ONE side was done. It was a very new coder (a CCS not a CPC) who brought it to my attention it was not...
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    Wiki Unilateral Retrograde Pyelogram

    Retrograde Pyelogram Thomas, Thank you for your reply. Just to clarify, I did search the forums prior to posting the question. I checked again just now to see if I missed anything - and I do not find a post directly addressing my question. Again, my question is not whether to bill 52005...
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    Wiki Retrograde Pyelogram - My question is how

    Retrograde Pyelogram No, the contrast is not injected into the vein of the patient...it is injected through the catheter(s) placed via a cystoscope into the ureters - I believe. But, I'm also struggling with the retrograde pyelogram code 52005 ..that's the placement of the catheters ..CPT...
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    Wiki Unilateral Retrograde Pyelogram

    Unilateral 52005 That’s what I was thinking too Debbie. I understand that 52005 can be either unilateral or bilateral which is why I was wondering the -LT or -RT was not appropriate. Any thoughts?
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    Wiki Bladder tumor measurements

    I have been taught to go with the physician’s documentation. If his dictated, signed note states 5 cm then go with that. They can also use the terms “small”, “medium” or “large”. The only time I use the path report for measurements is if the size is not indicated. The specimen will always shrink...
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