CPT® 2013: Urology Coding Changes Will Take Your Claims to A New Level

Why This Topic Matters

Urology practices needed guidance on how to recognize the new CPT® option in context, how it relates to prior unlisted-procedure billing approaches, and which diagnosis and HCPCS reporting considerations were commonly discussed with these services.

Article Sections

1. New CPT® code for bladder chemodenervation

   Introduces the 2013 CPT® update for a urology procedure involving bladder chemodenervation services and notes the timing of the change.

2. Use of the unlisted procedure code

   Describes the earlier billing approach discussed for these services and the general payer and coverage context surrounding it.

3. Payment considerations and RVUs

   Summarizes the article’s discussion of reimbursement uncertainty and the role of relative value units in payer payment decisions.

4. Diagnosis coding and HCPCS drug reporting

   Covers the broader diagnosis coding background referenced for supporting medical necessity and the associated HCPCS reporting for the drug product.

5. Example and billing format

   Presents an illustrative office billing scenario and a sample line-item reporting format for the procedure and drug.