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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Article Overview
This short June 2018 CPT Assistant Q&A addresses urinary system coding questions in a surgery context, with emphasis on how to think about office-based evaluation services and related testing during an initial E/M encounter. It is useful for urology coders, billers, and compliance staff who need to understand what topics the article covers before reviewing the full premium content.
Why This Topic Matters
Articles like this help coding professionals distinguish routine components of an evaluation visit from services that may be reported separately. It also flags the specific CPT code discussed in the context of urinary testing.
What You Will Learn
- The general coding topic discussed in a urinary system Q&A format
- How the article frames an office-based urinary evaluation scenario
- Which urinary testing topic is addressed in relation to an initial E/M visit
- The type of CPT guidance presented in the June 2018 CPT Assistant item
Who Should Read This
- Medical coders
- Urology billing staff
- Compliance auditors
- Revenue cycle professionals
- Physician office staff
Codes Discussed
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