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| Articles by James Smith |
1. Medicare Now Reimburses PSA Screening
August 31, 2012
Medicare Now Reimburses PSA Screening
Urology practices now can get reimbursed from Medicare for annual prostate cancer screening in men age 50 and older.
Its like mammograms, says Mary Hunter, practice administrator of Pioneer Valley Urology in Springfield, Mass. In ...
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2. Pessary Support Device
August 31, 2012
est your coding knowledge. Determine how you would code this situation before looking at the box below for the answer.
Question: Billing for fitting and insertion of a pessary support device requires use of code 57160, but this code is a starred procedure, meaning ...
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3. Get Paid for Prostate Cancer Counseling
August 31, 2012
When the mayor of New York City, Rudolph Giuliani, announced that he had prostate cancer at the end of April, he sent a clear message to men across America to get screened for the disease. At the end of May, however, he was still mulling over his treatment options. In the interim, he has withdrawn f...
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4. Get Paid for Stent Placement and Removal in Same Session
August 31, 2012
When a urologist changes a ureteral stent, the question is whether he or she should bill for the placement of the new one only, or for the placement of the new and the removal of the old. There is no single code for stent "exchange," but there is a code for "removal" and another code for "placement....
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5. Codes 50080-50081 No Longer Have Bundled Component Codes
August 31, 2012
The Correct Coding Initiative ( CCI ) Version 7.0 has removed some bundled component codes from CPT 50080 (percutaneous nephrostolithotomy or pyelostolithotomy, with or without dilation, endoscopy, lithotripsy, stenting, or basket extraction; up to 2 cm) and 50081 (... over...
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6. Get Paid with Correct Code for Transvaginal Urethrolysis
August 31, 2012
Many urologists have trouble finding the proper code for transvaginal urethrolysis because there is no code for it as an independent procedure. Urologists can get paid for urethrolysis following a sling procedure with 57287 and another for urethrolysis for scarring secondary to infection with 52285....
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7. Reimbursement Tactics for Hand-assisted Laparoscopies
August 31, 2012
Hand-assisted laparoscopy (HAL) is a relatively new method for doing many urological surgeries, but there are no codes for HAL. A laparoscopy doesnt pay as much as open surgery. For proper reimbursement, urologists have several options, including using the unlisted code, appending modifier -22 to th...
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8. Coding When Definitions Overlap
August 31, 2012
When a urologist performs multiple procedures at a surgical encounter, proper coding requires choosing between different code sets to arrive at those that most closely describe the work performed. Descriptions for these codes often include more than one procedure.
As a simple example of thi...
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9. CPT Assistant Clarifies Modifier Use for Stents, Stones
August 30, 2012
CPT Assistant clarified several coding questions for urologists this fall including modifier use for stents during diagnostic cystoscopies, stone removal and contralateral procedures.
Stent Placement
Code stent placement (52332, cystourethroscopy, with ...
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10. Break Down Brachytherapy into Steps for Proper Coding and Fair Payment
August 30, 2012
Because urologists often work with radiation oncologists to perform brachytherapy, the decision of who bills for what can confuse coders. The treatment has several components, adding to the coding challenge, so urology coders must know the specific tasks the urologist performs to gain fair reimburse...
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Author: James Smith
