Urology Coding and Reimbursement Podcast

October 7, 2022

Mark, Ray, and Scott discuss ICD-10 in week 2 of Urology Coding Month (October).  Mark gives the ICD-10 overview as it pertains to urology and shares current denial trends.

Monthly Webinar

Webinar Topic: Will the NEW CPT CODES for January help solve current coding problems?

Now Free to All Thank You to Our Monthly Webinar Series Partner: ModMed (learn more at  https://www.modmed.com/prsnetwork)

Watch the replay here: https://www.prsnetwork.com/mie-recordings

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Urology Advanced Coding and Reimbursement Seminar  - Registration Open

Las Vegas, NV - December 2-3, 2022
New Orleans, LA - January 27-28, 2023

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September 30, 2022

Mark, Ray, and Scott kickoff the Urology Coding Month (October) with a discussion of rules and why its so important to know what they are and how to apply them.  Also, as an example they discuss a few of the new 2023 CPT codes for urology.

Monthly Webinar

Webinar Topic: Will the NEW CPT CODES for January help solve current coding problems?

Now Free to All Thank You to Our Monthly Webinar Series Partner: ModMed (learn more at  https://www.modmed.com/prsnetwork)

Date: October 6th, 1 pm Eastern Link to join at 1pm EST Thursday (10/6): https://us02web.zoom.us/meeting/register/tZcuduqrqDkiGt2rpXrfdy8o4HDHj_vW81D_ 

 Free Urology Coding Training For Residents

https://www.prseducationfoundation.org

Urology Advanced Coding and Reimbursement Seminar  - Registration Open

Las Vegas, NV - December 2-3, 2022
New Orleans, LA - January 27-28, 2023

Register Now 

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Available September 23, 2022

Mark, Ray, and Scott discuss Pediatric Urology Coding and some of its nuances.  Also, they answer 2 pediatric urology coding questions:

1. I think the great majority of us know that if a patient has been seen by me or one of the other providers in my practice within the past three years then he/she is considered an established patient. However, there is some controversy in my new practice. I left hospital employment and started a new private practice. Some information suggests that because this is a new practice with a new tax ID and a new Group NPI number that any patient seen is considered a new patient. I wish that were true but I think that is incorrect and even though this is an entirely new practice any patient seen by me or my nurse practitioner in the past three years should be considered an established patient for coding and billing. Which is correct? Thank you.
2.  I am needing clarification on if a patient can be seen by nurse/MA with no provider in office? Examples would be foley removals, phlebs, ua's, etc.  It was my understanding in the past we could not, but this issue came up recently when a doctor was ill and was not able to be in office.
   Thanks!
3.  Provenge billing: how many diagnoses? what about the Q codes - what's included?
4.  
5.  
6.  

Test Your Knowledge - What is your urology coding score?

https://www.prsnetwork.com/uroscore

 Free Urology Coding Training For Residents

https://www.prseducationfoundation.org

Urology Advanced Coding and Reimbursement Seminar  - Registration Open

Las Vegas, NV - December 2-3, 2022
New Orleans, LA - January 27-28, 2023

Register Now 

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Questions or need help, please send us an email: [email protected] 

  Join the discussion:

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September 16, 2022

Mark, Ray, and Scott discuss Pediatric Urology Coding and some of its nuances.  Also, they answer 2 pediatric urology coding questions:

1.  Case was for non-palpable testis(UDT) so plan was laparoscopic approach for UDT and, at time of laparoscopy, no intraabdominal testis found, so an open exploration with separate incision was done and atrophic testis found in canal. billed as diagnostic laparoscopy (49320)and as no testis found in abdomen, separate orchiectomy billed from separate incision. (54520)-- can this be billed?  Same day procedure but testis not in abdomen to do planned lap approach but needed to have UDT addressed.
2. Is there/what is appropriate code for artificial erection at time of surgery for possible chordee in boy but no chordee found?  An artificial erection needs to be done to prove or disprove chordee-- tissue needs to be dissected down to get appropriate erection test so not just circumcision but no chordee found after complete dissection.  Currently, using 54250 as there really isn't a specific peds urology code. Suggestions? 

Test Your Knowledge - What is your urology coding score?

https://www.prsnetwork.com/uroscore

 Free Urology Coding Training For Residents

https://www.prseducationfoundation.org

Urology Advanced Coding and Reimbursement Seminar  - Registration Open

Las Vegas, NV - December 2-3, 2022
New Orleans, LA - January 27-28, 2023

Register Now 

 Compliance Plans

Questions or need help, please send us an email: [email protected] 

  Join the discussion:

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September 9, 2022

Ray and Scott discuss why it is so hard to get paid accurately for all the services provided.

Test Your Knowledge - What is your urology coding score?

https://www.prsnetwork.com/uroscore

 Free Urology Coding Training For Residents

https://www.prseducationfoundation.org

Urology Advanced Coding and Reimbursement Seminar  - Registration Open

Las Vegas, NV - December 2-3, 2022
New Orleans, LA - January 27-28, 2023

Register Now 

 Compliance Plans

Questions or need help, please send us an email: [email protected] 

  Join the discussion:

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September 2, 2022

Mark, Ray, and Scott discuss what you should do when you have a surgery that includes both open and laparoscopic approaches.  Also, Mark recaps the Monthly Webinar "How to avoid unspecified diagnosis denials".

Link to Monthly Webinar: "How to avoid unspecified diagnosis denials"

Urology Advanced Coding and Reimbursement Seminar  - Registration Open

Las Vegas, NV - December 2-3, 2022
New Orleans, LA - January 27-28, 2023

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 Compliance Plans

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August 26, 2022

Mark, Ray, and Scott discuss the reliability of a manufacturer's coding guidance and the Discarded Drug Rebate in the CMS proposed rule for 2023.

Urology Advanced Coding and Reimbursement Seminar  - Registration Open

Las Vegas, NV - December 2-3, 2022
New Orleans, LA - January 27-28, 2023

Register Now 

 Compliance Plans

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  Join the discussion:

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August 19, 2022

Mark, Ray, and Scott discuss questions that came into the PRS community:

1. I just listened to the podcast on Order of modifiers on a claim. Just one question. I've been taught that the global modifier doesn't apply to an assistant surgeon. So if the patient is in a global you wouldn't add the 78 or 79 modifier to their claim. It would only be added to the primary surgeon. I have been coding for over 20 years and never used a global modifier on an assistant claim with no denied claims. Correct me if I'm wrong. Thanks for your time in advance
2. Good Morning, Just need to clarify. If my doc performs a 52356-RT DX N20.0 and due to unrelated Hydro on the left a 52005 is performed on left side only. Can 52005-LT be billed also ? According to the edits it cannot be billed even though it is not related. Any input would be great! Thank you, Linda
3. My clinic is confused on coding for trimix injections. We have patients that are coming for teaching on how to do a trimix injection. Should I be coding 54235 if the patient is injecting them self during the teaching and bringing their own needle and medication for the injection? I think we should not be coding 54235 unless the doctor/PA/NP is injecting the medication. Please let me know what you think.
4. Would you be able to go over the difference in coding TUR bladder neck contracture, TUI BNC, Cysto incision of BNC, TUR or Inc postoperative BNC. These can get pretty confusing.

Urology Advanced Coding and Reimbursement Seminar  - Registration Open

Las Vegas, NV - December 2-3, 2022
New Orleans, LA - January 27-28, 2023

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 Compliance Plans

Questions or need help, please send us an email: [email protected] 

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August 12, 2022

Mark, Ray, and Scott discuss how modifiers should be ordered.  Mark shares what modifier sequencing is, why modifier sequencing is important and provides examples of how to order modifiers on a claim.

Urology Advanced Coding and Reimbursement Seminar  - Registration Open

Las Vegas, NV - December 2-3, 2022
New Orleans, LA - January 27-28, 2023

Register Now 

 Compliance Plans

Questions or need help, please send us an email: [email protected] 

  Join the discussion:

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August 5, 2022

Ray, Mark, and Scott discuss two questions that came into the Urology Coding and Reimbursement Gropou about billing a TURBT even though the whole tumor was not removed also they discuss coverage of repeat Urolift procedures.

PRS Education Foundation

https://www.prseducationfoundation.org

Urology Advanced Coding and Reimbursement Seminar  - Registration Open

Las Vegas, NV - December 2-3, 2022
New Orleans, LA - January 27-28, 2023

Register Now 

 Compliance Plans

Questions or need help, please send us an email: [email protected] 

  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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