UCR 145: Complication modifier (-78) POS discussion; FAQs - laparoscopic evaluation ureter, E/M and therapeutic injection (ADT) in the same visit, code for stone removal using forceps - no cysto
May 19, 2023
Mark, Ray, and Scott talk about a question Dr. John Lin asked on a recent Noridian Mac Call about billing a Modifier -78 with POS 11 (hear the recording on the Thriving Urology Facebook Group). Also, they answer 3 questions that came into the Urology Coding and Reimbursement Group.
Robot-assisted Laparoscopic Evaluation of LEFT Distal Ureter:
How would you code this? dr put 50949.
We have a question for your regarding ADT injections/visits for:
Eligard injection- HCPCS: J9217
Camcevi injection-HCPCS: J1952
We have recently hired an experienced NP to launch an Advanced Prostate Clinic. For our pts on ADT therapy, can they be seen by our NP and bill a level 3 or 4 office visit as she will be discussing bone health, sexual health, and incontinence issues?
What are other clinics doing nationwide for this type of visit and what is appropriate/recommended? Please let me know if there is any additional information I can provide.
I really enjoy your webinars, thank you so much for providing this service!
[To clarify, this would be for an E/M and therapeutic injection (ADT) in the same visit? ]
- Is there a cpt code for removal of a urethral stone using forceps, no cysto involved? Every code I see is for cysto with removal. Can we bill a 52310 with a modifier 52 for reduced services? Or should we use unlisted code 53899?
PRS Network Monthly Webinar Series Recordings:
Maximizing Income and Efficiencies for Urology Practices
Register for Entire Webinar Series - Free*
Registration Now Open: Urology Advanced Coding and Reimbursement Seminar
Las Vegas, December 1&2, 2023
8 am - 4:30 pm Friday, 8 am - 3:30 pm Saturday
Reserve your spot and save!
As a Urology Coding and Reimbursement Podcast listener, you get access to a discount (limited-time offer).
Use code: 24UACRS733
Get signed up today and get peace of mind knowing you will be prepared for all the upcoming changes.
Join the discussion:
Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.
Click Here to Start Your Free Trial of AUACodingToday.com