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UCR 163: FAQs - Hiring Certified Coders; Removal of foley, nurse visit or bladder irrigation? "Modifier Required"; Assistant Surgeon - preop / interop consult?
September 22, 2023
Ray, Mark, and Scott discuss questions that came into the Urology Coding and Reimbursement Group:
- We are looking to hire a certified coder. We are open to the position being remote if the candidate has urology experience. If you know anyone interested, please send them my way. Also, feel free to email me your resume or if you have any questions.
- Patient has a nurse visit for removal of a foley catheter that was placed during a procedure with a 00-day global (i.e TURBT). Visit was 2 days after surgery. Documentation by nurse states; Pt in for foley cath removal. 10 ml sterile water removed from balloon, balloon deflated, foley cath removed. Pt tolerated well. Should we be billing a 99211 nurse visit, a 51700 for bladder irrigation or considered part of the surgical package and would not be billable?
- My question is what if I use a modifier that Coding Today indicates a modifier is required, and the insurance company still denies the second procedure with the modifer as included in the primary procedure, such as CPT's 52332 and 52005-59. Is this appealable?
- To clarify the Assistant Surgeon, is this is completely separate from a pre op consult to place stents for ureteral identification or an intraop consult for cystoacopy or foley placement or to repair a bladder injury?
Mark Painter and PRS Consulting
Schedule a call with Mark Painter / PRS Consulting
Urology Documentation, Coding, and Billing Certification
For Urologists and APPs
(Click Here for Pricing, More Information, and Registration)
Documentation, Coding, and Billing Fellowship - Urology (DCB-FS)
For Coders, Billers, and Admins
(Click Here for Pricing, More Information, and Registration)
Documentation, Coding, and Billing Specialist Certification (DCB-SC)
Documentation, Coding, and Billing Master Certification (DCB-MC)
Urology Advanced Coding and Reimbursement Seminar
(Click Here for More information and Registration)
Las Vegas, December 1 & 2, 2023
8 am - 4:30 pm Friday, 8 am - 3:30 pm Saturday
New Orleans, January 26 & 27, 2024
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 (expires 8/31/23).
Use code: 24UACRS733
Get signed up today and get peace of mind knowing you will be prepared for all the upcoming changes.
The Thriving Urology Practice Facebook group.
The Thriving Urology Practice Facebook Group link to join:
https://www.facebook.com/groups/ThrivingPractice/
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
View all episodes
By Mark Painter, Scott Painter and Dr. Ray Painter
4.8
1212 ratings
September 22, 2023
Ray, Mark, and Scott discuss questions that came into the Urology Coding and Reimbursement Group:
- We are looking to hire a certified coder. We are open to the position being remote if the candidate has urology experience. If you know anyone interested, please send them my way. Also, feel free to email me your resume or if you have any questions.
- Patient has a nurse visit for removal of a foley catheter that was placed during a procedure with a 00-day global (i.e TURBT). Visit was 2 days after surgery. Documentation by nurse states; Pt in for foley cath removal. 10 ml sterile water removed from balloon, balloon deflated, foley cath removed. Pt tolerated well. Should we be billing a 99211 nurse visit, a 51700 for bladder irrigation or considered part of the surgical package and would not be billable?
- My question is what if I use a modifier that Coding Today indicates a modifier is required, and the insurance company still denies the second procedure with the modifer as included in the primary procedure, such as CPT's 52332 and 52005-59. Is this appealable?
- To clarify the Assistant Surgeon, is this is completely separate from a pre op consult to place stents for ureteral identification or an intraop consult for cystoacopy or foley placement or to repair a bladder injury?
Mark Painter and PRS Consulting
Schedule a call with Mark Painter / PRS Consulting
Urology Documentation, Coding, and Billing Certification
For Urologists and APPs
(Click Here for Pricing, More Information, and Registration)
Documentation, Coding, and Billing Fellowship - Urology (DCB-FS)
For Coders, Billers, and Admins
(Click Here for Pricing, More Information, and Registration)
Documentation, Coding, and Billing Specialist Certification (DCB-SC)
Documentation, Coding, and Billing Master Certification (DCB-MC)
Urology Advanced Coding and Reimbursement Seminar
(Click Here for More information and Registration)
Las Vegas, December 1 & 2, 2023
8 am - 4:30 pm Friday, 8 am - 3:30 pm Saturday
New Orleans, January 26 & 27, 2024
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 (expires 8/31/23).
Use code: 24UACRS733
Get signed up today and get peace of mind knowing you will be prepared for all the upcoming changes.
The Thriving Urology Practice Facebook group.
The Thriving Urology Practice Facebook Group link to join:
https://www.facebook.com/groups/ThrivingPractice/
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
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