Mark, Ray, and Scott answer questions from the Urology Coding and Reimbursement group. Mark gives 

1)  Can urologist bill for Covid intake screenings? We hear from a  provider that when  patient walks in the door and we perform the  Covid intake screening ( we do these anyways), we can bill for this?
We would have to submit out Covid form, a medical form, and a SOAP note, these can be signed by an NP for submition to the insurance?

2)  Can a Urologist bill a 50590 and a 76000?  It says only if medically necessary. What would be considered medically necessary? 

3)  Can you explain in an office setting when you would only bill a 51702 for catheter change for management of chronic urinary retention pt VS including an E/M charge 99213 VS when to use a modifier 25? 

From my understanding there is no charge for a catheter removal and this is included in the E/M portion of the charge, so shouldn't every chronic catheter pt (for NGB, urinary retention) also have an E/M charge in addition to the 51702? 

Good news from the resolution act: regarding the Medicare repayment