AMA CPT® Assistant - 2018 Issue 6 (June)

Surgery: Urinary System (Q&A) (June 2018)

June 2018 page 11d Surgery: Urinary System Question: Would it be appropriate to separately report a cotton-swab test for urinary incontinence during an initial evaluation and management (E/M) visit? Answer: No, it would not be appropriate to separately report a cotton-swab test during an initial E/M visit. The cotton-swab test involves lubricating a cotton swab with anesthetic gel, inserting into the urethra, asking the patient to cough and strain, and observing the cotton swab for movement, suggesting a weak pelvic floor and urethral connective tissue. This is a minimal service that would be an included component of the E/M...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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