June 14, 2024

UCR 199: Revisiting Audio-Only Calls for Test Results; Robotic Spermatic Cord/Vein Resection, and Coding Unlisted Laparoscopic/Robotic Procedures

24 minutes

June 14, 2024

Mark, Scott, and Ray discuss topics that came into the PRS communities.

Can you bring this back up again as it relates to Audio only calls. Question i have is if you are just reviewing results that were ordered during a visit, this is essentially not a billable event. Isnt it considered double dipping because the review of the results and test order is included when ordered. Aside from the results, going over a treatment plan could be a billable event. Truly depends on what you are using this visit for. I have added an AMA sheet that will help with the different scenarios.
Please let me know your thoughts
Ordering a test is included in the category of test result(s) and the review of the test result is part of the encounter and not a subsequent encounter.”
And, from the CPT Assistant, (AMA publication) November, 2020, page 5: “It is assumed that the physician or other QHP would review the results of the test ordered; therefore, the physician or other QHP would not receive dual credit toward MDM for service-level selection for both ordering and reviewing the test.”
Hi, a question please. Thank so much.
For Robotic assisted retroperitoneal lymph node dissection, Lap Resection of right gonadal vein/Spermatic cord stump.
I coded Robotic assisted retroperitoneal lymph node dissection with 38589 (benchmarked to 38780),
but I have a question for Lap Resection of right gonadal vein/Spermatic cord stump,
Should these be coded with two CPT codes: One to capture right gonadal vein resection and another one to capture Spermatic cord stump? VS these two are on the same location and should only be coded with one CPT code? Thank you!

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By Mark Painter, Scott Painter and Dr. Ray Painter

4.8

1212 ratings

June 14, 2024

UCR 199: Revisiting Audio-Only Calls for Test Results; Robotic Spermatic Cord/Vein Resection, and Coding Unlisted Laparoscopic/Robotic Procedures

24 minutes

June 14, 2024

Mark, Scott, and Ray discuss topics that came into the PRS communities.

Can you bring this back up again as it relates to Audio only calls. Question i have is if you are just reviewing results that were ordered during a visit, this is essentially not a billable event. Isnt it considered double dipping because the review of the results and test order is included when ordered. Aside from the results, going over a treatment plan could be a billable event. Truly depends on what you are using this visit for. I have added an AMA sheet that will help with the different scenarios.
Please let me know your thoughts
Ordering a test is included in the category of test result(s) and the review of the test result is part of the encounter and not a subsequent encounter.”
And, from the CPT Assistant, (AMA publication) November, 2020, page 5: “It is assumed that the physician or other QHP would review the results of the test ordered; therefore, the physician or other QHP would not receive dual credit toward MDM for service-level selection for both ordering and reviewing the test.”
Hi, a question please. Thank so much.
For Robotic assisted retroperitoneal lymph node dissection, Lap Resection of right gonadal vein/Spermatic cord stump.
I coded Robotic assisted retroperitoneal lymph node dissection with 38589 (benchmarked to 38780),
but I have a question for Lap Resection of right gonadal vein/Spermatic cord stump,
Should these be coded with two CPT codes: One to capture right gonadal vein resection and another one to capture Spermatic cord stump? VS these two are on the same location and should only be coded with one CPT code? Thank you!

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.

Special Early Bird Discount Code: 24UACRVE7

Click Here for Information and Registration

PRS Billing and Other Services - Book a Call with Mark Painter or
Marianne Desciose

Click Here to Get More Information and Request a Quote

Urology Advanced Coding and Reimbursement Seminars - In-Person Seminars

Special Early Bird code: 25UACRS732

Click Here for Information and Registration

Event Details

Location:
Las Vegas: December 6-7, 2024, at Horseshoe
New Orleans: January 31-February 1, 2025, at Harrah's

Time: Friday 8 am - 4 pm, Saturday 8 am - 3:30 pm

Includes: Breakfast and Lunch on both days, plus 14 AAPC CEUs

The Thriving Urology Practice Facebook group.