Search results

  1. K

    Wiki Spermatic Cord Botox Injection

    Anyone's providers doing this? Would this be an unlisted code? 55899?
  2. 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...
  3. K

    Wiki G2211

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

    Wiki C9761

    Would this be a code for hospitals to use instead of a physician?
  5. 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.
  6. K

    Wiki Modifiers JW and JZ

    Are there any urology practices using these two modifiers? If so, on what medications? Thanks, Kayla
  7. 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.
  8. 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?
  9. 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.
  10. 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...
  11. 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.
  12. 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...
  13. K

    Wiki Transvaginal repair of cystotomy, cystoscopy

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

    Wiki Transvaginal repair of cystotomy, cystoscopy

    Would I code this as 51860?
  15. K

    Wiki Urodynamics

    Where does urodynamics fit in the medical decision making portion with the new guidelines? Would it be low or moderate risk?
  16. 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?
  17. 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.
  18. 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...
  19. 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??
  20. 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...
  21. K

    Wiki Changing tube

    What is the CPT code for changing an appendicovesictomy tube? Or is this included in the E/M?
  22. 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.
  23. 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.
  24. 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...
  25. 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.
  26. 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...
  27. 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...
  28. 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??
  29. 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??
  30. 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...
  31. 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?
  32. K

    Wiki Excision of pubic tubercle

    I need help for a CPT code for this. My provider did a robotic radical prostatectomy, bilateral pelvic lymph node dissection, and excision of pubic tubercle (partial). He identified that is was touching the bladder and the prostate. 55866, 38571, and not sure if I just add modifier 22 to this...
  33. K

    Wiki Seminal vesicle biospy

    Procedure: Transrectal ultrasound imaging of the prostate and seminal vesicals with transrectal ultrasound-guided biospsy of the right seminal vesicle mass and right base of the prostate. The patient underwent trasnrectal ultrasound imaging in both the transverse and longitudinal planses. The...
  34. K

    Wiki Urethral Condyloma inside urethra

    I came across a new report where the urethral condyloma were inside the urethra. His largest, most troublesome lesions was about 1.5 cm, obscuring most of his urethral meatus. I debulked this by sharply excising this after placing a tourniquet at the base of the penis to reduce bleeding. Once I...
  35. K

    Wiki yCPT code 51597

    When would this code be used? I have a patient who had robotic assisted lap radical cystectomy with pelvic extenteration, lap bilateral pelvic lymph node dissection, and open ileal conduit, Do I bill 51999 (cystectomy & lymph nodes) 58571, and 50820? Or Do I bill 51597?
  36. K

    Wiki ICD 10 Help

    What code would I use for High Grade PIN from a prostate pathology report? (focal high grade prostatic intraepithelial neoplasia) Is D07.5 correct?
  37. K

    Wiki E/M Help

    Patient has elevated PSA (chronic stable) and also has a family history of prosate cancer. We are seeing him back in 6 months with repeat PSA. Is this a 99212 or can it somehow be a 99213 because of the family history of prostate cancer?
  38. K

    Wiki Draining cystic mass of scrotum and perineum

    Excision of cystic mass of scrotum and perineum, 4-5cm I began be identifying the opening, which by squeezing the inflamed tissue I could see a little purulence come from. I made an incision with a U-shaped tab trying to stay on the midline with the incision and then the tab was around the...
  39. K

    Wiki Genital Condyloma

    For CO2 laser ablation of genital condyloma that is on the scrotum, do I use CPT code 54057 or 17110? Maybe something else??
  40. K

    Wiki Prescription Management

    If you have two or more stable chronic diseases and your provider says to continue the medications that the patient is on; do you consider this prescription management? Is this a 99214? Everyone always has their own opionions and I am always going back and forth on this one. Is there a right or...
  41. K

    Wiki E/M Question

    If you have two or more stable chronic diseases and your provider says to continue the medications that the patient is on; do you consider this prescription management? Is this a 99214? Everyone always has their own opionions and I am always going back and forth on this one. Is there a right or...
  42. K

    Wiki Cystoscopy with excision of periurethral/meatal condyloma

    Can I get help with a CPT code?? A rigid 22-French cystoscope was lubricated and passed in the bladder after a time-out was performed. Thorough visulization of the bladder and urethra was performed with no condyloma noted. Scope was removed. Periurethral/meatal condyloma was excised sharply and...
  43. K

    Wiki Excision of vaginal lesion CPT code

    I code for Urology and could use some help. Before my phsycian placed an Altis sling for urinary stress incontinence, he noticed a small lesion in the vagina. He did excise this as it looked pedunculated. The path report came back as benign vaginal mucosa. Would I code this as 57100 or 57061...
  44. K

    Wiki Interpreting a KUB

    If my physician orders a KUB and it is done at our office and the patient comes back two days later for an appointment and the doctor reads the results that day, would the reading get billed that day? Taken on 9/7/21 74018TC Read on 9/9/21 74018-26 But if he does it all on one day it would be...
  45. K

    Wiki Cystoscopy, clot evacuation, fulguration of bleeders, transurethral resection of bladder neck contracture

    I am looking for the right CPT code for the resection of bladder neck contracture. The patient has had a radical prostatectomy. I am thinking codes 52001, 52214, and 52276. I had a note that says the true bladder neck has been removed during the prostatectomy and to use 52276 when incisions are...
  46. K

    Wiki Laparoscopic vesico-vaginal fistula repair

    I am looking for a CPT code. Not sure if I should use 51999 and compare the code to 51900? Or 57330 (but this one doesn't seem right)
  47. K

    Wiki Nursing Procedures

    Does a provider have to be present or in the building for a nursing procedure to be billed?
  48. K

    Wiki Resection of a small liver nodule

    During the procedure there was a small nodule of the anterior middle portion of the liver. This had an irregular appearance and during the case we performed a resection of this nodule. We were able to use the Bovie to excise this and achieve hemostasis. This nodular was sent for separate...
  49. K

    Wiki Evacuation of retroperitoneal hematoma

    Help please!! My physician did an open radical right nephrectomy but also evacuated a retroperitoneal hematoma. I am having a hard time finding this in the book. Any help would be greatly appreciated. Thanks.
  50. K

    Wiki ICD 10 code?

    What code would I use for adrenal enlargement? E27.9 or E27.8?
Top