Medicare Compliance & Reimbursement - 2015 Issue 2
Part B Coding Coach: Update Your UroLift® Coding or Face 2015 Denials
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Article Overview
This article covers the 2015 CPT update related to UroLift® coding for urology practices and facilities. It is relevant to coders, urologists, and billing staff who need a high-level understanding of the new procedure codes, the associated facility billing references, the change from older unlisted-code reporting, and the general procedural context for benign prostatic hyperplasia treatment. The article also touches on global period assignment and where the procedure is commonly performed.
Why This Topic Matters
Correctly recognizing the code update and billing setting is important for avoiding claim denials and maintaining appropriate reimbursement for UroLift® procedures.
Article Sections
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Focus on the Codes
Introduces the CPT update for the procedure and discusses the related coding shift from prior reporting approaches to the newer procedure-specific codes. It also references the professional and facility billing context.
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Get to Know the Procedure
Provides a broad overview of the minimally invasive treatment approach and the clinical setting in which the procedure is typically performed. It describes the general procedural workflow and the type of patient scenario addressed.
What You Will Learn
- How the article frames the 2015 coding update for a urology procedure
- What broad billing settings are discussed for the procedure
- What general procedural context is provided for UroLift® treatment
- Why the article says the update matters for claims and reimbursement
Who Should Read This
- Urology coders
- Billing specialists
- Revenue cycle staff
- Urologists
- Ambulatory surgery center billing staff
- Hospital outpatient coders
Codes Discussed
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