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  1. K

    Wiki Spermatic Cord Botox Injection

    testicular pain
  2. K

    Wiki Spermatic Cord Botox Injection

    Anyone's providers doing this? Would this be an unlisted code? 55899?
  3. K

    Wiki Outpatient Clinics

    Our providers see patients at "outreach" clinics that are based in the hospital. They are considered outpatient services. Can provider bill a new patient visit if we have never seen the patient, but the facility (hospital) has? The facility is telling us we can only charge established because...
  4. K

    Wiki G2211

    Aetna has paid on the G2211 on some claims though and denied it on other claims.
  5. K

    Wiki G2211

    Anyone else having Aetna Medicare approve some G2211 and deny other claims with the same charges?
  6. K

    Wiki C9761

    Would this be a code for hospitals to use instead of a physician?
  7. K

    Wiki Percutaneous thulium laser ablation of renal tumor

    Or do I use code 50592?
  8. K

    Wiki Laser Ablation

    I have a patient that had a ureteroscopy, laser ablation of upper tract erythema along with laser excision of upper tract lesion. Is this coded as 52354 or 52355? Thanks.
  9. K

    Wiki Modifiers JW and JZ

    Are there any urology practices using these two modifiers? If so, on what medications? Thanks, Kayla
  10. K

    Wiki Percutaneous thulium laser ablation of renal tumor

    Not sure if the laser ablation is more of a resection (50562) or fulguration (50557). Any advice would be greatly appreciated.
  11. K

    Wiki Optilume 0499T

    This is a new procedure my phycians started to do. There is no fee schedule for proffesional and am wondering what code to compare it to for price. I was thinking 52281 but am unsure. Anyone's physicians doing this?
  12. K

    Wiki Radiology Question

    So does the xray portion have to be on it's own report? Like I said they just dictate in the E/M visit.
  13. K

    Wiki Radiology Question

    It said the documentation does not support the service.
  14. K

    Wiki Radiology Question

    What kind of documentation is required for a KUB? We do the technical and professional component. Our doctor dictates in the office visit. We are getting denied for it. Any information would be greatly appreciated.
  15. K

    Wiki Axonics nerve stimulator implant

    Can I get help with what code to use? Is this 64561 or 64581? Under fluoroscopic guidance, we did access the S3 foramen with a percutaneous needle bilaterally. Testing demonstrated adequate bellows and great toe plantar flexion which was better obtained in the left foramen. The inner stylet was...
  16. K

    Wiki Hydrocele

    I have a patient that underwent a hydrocelectomy. He came back for post op visit and he has a hydrocele again. Dr aspirated it. Can I charge 55000 with a modifier or would this be considered post op? Thanks.
  17. K

    Wiki Exposed suture

    Could I please get help with a code for this? Provider says patient has an exposed umbilical suture. In the office dictation, he said he is going to opening the area and excising the suture and closing primarily over the top. The order is for incision, washout and repair of suture abscess...
  18. K

    Wiki Transvaginal repair of cystotomy, cystoscopy

    I was thinking unlisted code too. I bill for urologist repair. Thanks!!
  19. K

    Wiki Transvaginal repair of cystotomy, cystoscopy

    Can anyone help me find a CPT code for this? I would greatly appreciate it.
  20. K

    Wiki Transvaginal repair of cystotomy, cystoscopy

    What do you suggest the code should be? Unlisted bladder?
  21. K

    Wiki Transvaginal repair of cystotomy, cystoscopy

    Would I code this as 51860?
  22. K

    Wiki Urodynamics

    Where does urodynamics fit in the medical decision making portion with the new guidelines? Would it be low or moderate risk?
  23. K

    Wiki Core biopsy of gluteal mass

    Could someone help me with a CPT code for a needle core biopsy of gluteal mass? Would I code this as 10021?
  24. K

    Wiki Mitomycin

    Does anyone know if J9280 got deleted in the HCPCS? It was still in there beginning of the year, but I am getting rejected on a claim.
  25. K

    Wiki Transperineal biopsy of prostate with transrectal ultrasound

    Are there any other offices doing this procedure? Using precision point transperineal introducer?
  26. K

    Wiki Transperineal biopsy of prostate with transrectal ultrasound

    Is anyone else doing this procedure with a PrecisionPoint transperineal introducer? I have contacted Precison Point representatives and other urology offices doing this and they are coding with the 55706. A coder from an outpatient hospital, says that is wrong and to bill the 55700. The...
  27. K

    Wiki Help with modifier

    We sent the claim back in with a 78 on 55876. They are still denying us saying that the procedure code is inconsistent with the modifier used or a required modifier is missing. Any other suggestions?
  28. K

    Wiki Denial A1:19 and A8:306

    Help!!! I sent in the claim 51720, J9201, and J9271. They denied up front with the A1:19 and A8:306. I can not figure out why??
  29. K

    Wiki Help with modifier

    Thanks. I will give that a try.
  30. K

    Wiki Help with modifier

    Patient is in the post op period from having a TURP done. The pathology showed prostate cancer. The patient then continued to have Space OAR and IMRT placement. I billed 55874.78 and 55876.78/51. Medicare paid the 55874 but is denying the 55876 because the procedure code is inconsistent with the...
  31. K

    Wiki Changing tube

    Thank you!!
  32. K

    Wiki Changing tube

    What is the CPT code for changing an appendicovesictomy tube? Or is this included in the E/M?
  33. K

    Wiki Laparoscopic removal of spunule during nephrectomy

    My doctor removed a spenule while doing a laparoscopic partial nephrectomy. Not really sure how to code this. Do I use 38129 unlisted or 38120? My understand is that a spenule is an accessory spleen.
  34. K

    Wiki Laparoscopic removal of spenule

    My doctor removed a spenule while doing a laparoscopic partial nephrectomy. Not really sure how to code this. Do I use 38129 unlisted or 38120? My understand is that a spenule is an accessory spleen.
  35. K

    Wiki Ileal conduit catheter replacement

    What CPT code would I use in this case? The area of the ileal conduit ostomy was exposed by removing her appliance. Digital manipulation showed that admitted small finger with no difficulty. 16 French catheter was inserted. 3-4 cc of water was put in the balloon. Her ostomy appliance was...
  36. K

    Wiki Exploratory laparotomy, closure of ileal conduit enterotomy

    I am looking for help on a CPT code for this procedure. I was debating on 44602?? Any help/advice would be greatly appreciated.
  37. K

    Wiki Retrogrades CPT 52005

    I've only been billing as one unit also.
  38. K

    Wiki Creation of left nephrostomy tract with antegrade nephroscopy and ureteroscopy with biopsy of the renal pelvis proximal and distal ureter

    Any advice on this one?
  39. K

    Wiki Ureteroscopy, brush bx

    Does anyone know the answer to this? I just ran across the same thing.
  40. K

    Wiki Laser ablation of ureteral tumor

    If the provider did a ureteroscopy with laser ablation of ureteral tumor it is 52354.
  41. K

    Wiki Help with Cystolitholapaxy

    52317 or 52318. Depends what the size is.
  42. K

    Wiki Creation of left nephrostomy tract with antegrade nephroscopy and ureteroscopy with biopsy of the renal pelvis proximal and distal ureter

    Can I get help coding this operative report? Patient had a cystectomy with ileal conduit formation 10 years ago. Now has a ureteral ileal anastomotic stricutre. He was then flipped prone onto the operating room table. His prior nephrostomy and antegrade stent tubing were prepped into the field...
  43. K

    Wiki Consult codes

    After Medicare said they wouldn’t pay for consult codes, our office stopped billing them for all insurances. Now our providers are wanting to code consult codes when seen in the office. Does anyone do this? What has to be documented? What insurances do. It pay for it? Any advice would be greatly...
  44. K

    Wiki Mesh Removal

    Thank you!!
  45. K

    Wiki Mesh Removal

    The mesh was there becuase of a prior inguinal hernia repair. Provider said There was an excessive amount of mesh that was adherent to the anterior bladder wall. This was prohibitive from us fully dropping the bladder. We had to perform excision of this large mesh fragment from lateral and...
  46. K

    Wiki Mesh Removal

    Can I get some advice on a CPT code. My provider removed mesh that was adherent to the bladder during his prostatectomy. I understand removal of mesh laparoscopically is 49999. What CPT code do I benchmark this to? Also what ICD 10 code would I use??
  47. K

    Wiki Removal of Mesh

    Can I get some advice on a CPT code. My provider removed mesh that was adherent to the bladder during his prostatectomy. I understand removal of mesh laparoscopically is 49999. What CPT code do I benchmark this to? Also what ICD 10 code would I use??
  48. K

    Wiki Sinus Tract Excision

    Could I get help with a CPT code? I made an elliptical excison , in total length 5 cm, around the sinus tract and cystic lesion. In dissecting through the subcutaneous tissues, I did enter into an abscess pocket, about 1 cm deep. Small amount of mildly purulent fluid were evacuated, and then...
  49. K

    Wiki Excision of pubic tubercle

    Does it matter that it was done laparoscopic?
  50. K

    Wiki Aspirates portion of bladder tumor

    I am looking for a CPT code to use for this. My provider said in his op note that he aspirated out a portion of the bladder tumor as well as bladder washings during his cystoscopy. Can I code this as 52204? or would it just be 52000?
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