tci Medicare Compliance & Reimbursement - 2007 Issue 40

UROLOGY: Stop Handing Out ABNs For Renal Tumor Ablations

No cystoscopy? No problem next yearGood news: You can stop using the 52 modifier when your physician removes an internally dwelling ureteral stent without cystoscopy.Old way: Currently, when the physician removes a ureteral stent without cystoscopy, you use stent removal code 52310 with the 52 modifier (Reduced services), says Christy Shanley, billing manager for the University of California, Irvine Dept. of Urology.New way: CPT 2008 adds two new codes for ureteral stent removal via snare/capture without cystoscopy: 50385 (including stent replacement) and 50386 (without stent replacement). Say goodbye to experimental code: CPT 2008 deletes Category III code...

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