Urology Coding and Reimbursement Podcast

UCR 039: FAQs, Multiple ESWLs, 55700 with 96372, vital sign collection requirements, 99441-99443 usage, 51702 and A4344


Listen Later


February 19, 2021


Ray, Mark and Scott discuss questions from the Urology Coding and Reimbursement Group 

Question 1:  40 Seconds

Hello,  one of our physicians has been doing multiple ESWL's (cpt 50590) on the same dos for treating more than one stone..i.e one kidney stone, one ureteral stone or bilateral stones..i have found info that says only one 50590 per dos and also to unbundle with an X modifier
any clarification much appreciated
thanks

Question 2 - minute 5:03

We are seeing denials from Cigna Medicare plans where they are denying 96372 as bundled into 55700, 76872.   We added a modifier of 59 to 96372 to break it out of the bundling per the AUA coding today, since we are administering an antibiotic but the the insurance plan is stating it is part of the 55700 procedure.   As far as I know Medicare is not denying this.  Please advise.    Thanks for you help.   

Question 3 - minute 15:49

How important is it to check the vital signs on every patient for every office encounter? I understand the medical necessity and utility of it occasionally but is it at all essential to check the vital signs on every patient (or any patient for that matter) with the new 2021 E&M guidelines for documentation/billing purposes?

It is part of the physical exam so I think that it is not important at all for billing purposes.  Is that correct?

Question 4 - minute 21:55

Please clarify using 99441-99443 codes. We have a provider that wants to bill for these to call patients with test results which one of them has resulted in scheduling a surgical procedure. These calls are not scheduled as a telehealth visit would be. Please advise. 
Thank you for all your help.

Question 5 - 

When billing a private/commercial payer, can we bill codes 51702 and A4344 together?
Thanks

 


Take the
30 Day Urology Coding Challenge and learn what a QHP should know and nothing more.



Learn More



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

...more
View all episodesView all episodes
Download on the App Store

Urology Coding and Reimbursement PodcastBy Mark Painter, Scott Painter and Dr. Ray Painter

  • 4.8
  • 4.8
  • 4.8
  • 4.8
  • 4.8

4.8

12 ratings


More shows like Urology Coding and Reimbursement Podcast

View all
Money Guy Show by Brian Preston and Bo Hanson

Money Guy Show

3,164 Listeners

Marketplace by Marketplace

Marketplace

8,649 Listeners

Planet Money by NPR

Planet Money

30,823 Listeners

Freakonomics Radio by Freakonomics Radio + Stitcher

Freakonomics Radio

32,260 Listeners

White Coat Investor Podcast by Dr. Jim Dahle of the White Coat Investor

White Coat Investor Podcast

2,430 Listeners

The Daily by The New York Times

The Daily

111,785 Listeners

Up First from NPR by NPR

Up First from NPR

56,191 Listeners

Bogleheads On Investing Podcast by bogleheads

Bogleheads On Investing Podcast

590 Listeners

The Journal. by The Wall Street Journal & Gimlet

The Journal.

5,934 Listeners

Money Meets Medicine by Doctor Podcast Network, Jimmy Turner MD

Money Meets Medicine

219 Listeners

All-In with Chamath, Jason, Sacks & Friedberg by All-In Podcast, LLC

All-In with Chamath, Jason, Sacks & Friedberg

9,155 Listeners

BackTable Urology by BackTable

BackTable Urology

54 Listeners

Honestly with Bari Weiss by The Free Press

Honestly with Bari Weiss

8,695 Listeners

Money For Couples with Ramit Sethi by Ramit Sethi

Money For Couples with Ramit Sethi

3,351 Listeners

AUA Leadership and Business by American Urological Association

AUA Leadership and Business

2 Listeners