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UCR 194: FAQs - MRI fusion biopsy update; physician onsite for pessary, urodynamics, biofeedback; and NCCI bundle, can you bill higher wRVU?
May 10, 2024
Mark and Scott discuss FAQs that came into the Urology Coding and Reimbursement Group.
- MRI fusion biopsy update
- Hi,
- Can you please help us with the below questions.
-
- Pessary Insertion – does it require a physician to be onsite? What about Pessary cleaning?
- Urodynamics – we know that Medicare requires a physician to be onsite, does this also apply to commercial payers?
- Biofeedback - we know that Medicare requires a physician to be onsite, does this also apply to commercial payers?
- Hi, a question regarding NCCI edit pls. When unbundling is not allowed between two CPT, due to an indicator "0", never billed together. If the secondary CPT has more work-RVU than primary CPT, i.e. 51705 (primary) wRVU 0.9; and 52000 (secondary) wRVU 1.53, Are there any rules that we must bill Primary 51705? VS Can we choose to bill 52000 instead, knowing that 52000 has more wRVU than 51705? Thank you,
Urology Advanced Coding and Reimbursement VIRTUAL SEMINAR
Register Now for the Urology Advanced Coding
and Reimbursement Virtual Seminar
Join us on July 27th, 2024, for a live Zoom meeting from 9:30 am to 1:30 pm EST, and master the latest in urology coding and reimbursement with ease.
Click Here for Information and Registration
PRS Billing and Other Services
Click Here to Get More Information and Request a Quote
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
May 10, 2024
Mark and Scott discuss FAQs that came into the Urology Coding and Reimbursement Group.
- MRI fusion biopsy update
- Hi,
- Can you please help us with the below questions.
-
- Pessary Insertion – does it require a physician to be onsite? What about Pessary cleaning?
- Urodynamics – we know that Medicare requires a physician to be onsite, does this also apply to commercial payers?
- Biofeedback - we know that Medicare requires a physician to be onsite, does this also apply to commercial payers?
- Hi, a question regarding NCCI edit pls. When unbundling is not allowed between two CPT, due to an indicator "0", never billed together. If the secondary CPT has more work-RVU than primary CPT, i.e. 51705 (primary) wRVU 0.9; and 52000 (secondary) wRVU 1.53, Are there any rules that we must bill Primary 51705? VS Can we choose to bill 52000 instead, knowing that 52000 has more wRVU than 51705? Thank you,
Urology Advanced Coding and Reimbursement VIRTUAL SEMINAR
Register Now for the Urology Advanced Coding
and Reimbursement Virtual Seminar
Join us on July 27th, 2024, for a live Zoom meeting from 9:30 am to 1:30 pm EST, and master the latest in urology coding and reimbursement with ease.
Click Here for Information and Registration
PRS Billing and Other Services
Click Here to Get More Information and Request a Quote
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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