UCR 063: FAQs; 51728 and 51729 differentiation, Criteria for 45990, F/U visit and provider did a PVR can use -25
August 10, 2021
Ray, Mark, and Scott discuss questions from the Urology Coding and Reimbursement Group
Question 1: 49 Seconds
What documentation could I look for to differentiate 51728 and 51729. There is no clear mention of “urethral pressure profile study” in UDS documentation.
Question 2 - minute 10:22
What are the criteria for billing 45990 - the CPT book lists "requiring" anesthesia.
Can I bill 45990 since the DRE was done under anesthesia after a cystoureteroscopy
Question 3 - 15:19
If patient came in for f/u visit and provider did a pvr. Should you bill E&M code with Mo-25?
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