tci Part B Insider - 2007 Issue 30

UROLOGY: Make Sure Your Documentation Justifies An Extra $100 Per Procedure

Correct Coding Initiative hits catheterization, prostate surgery hardHeads up: October's update to the Correct Coding Initiative, version 13.3, bundles 51701-51703 with a whopping 4,638 codes each. You can use a modifier to override these edits, but you-ll need a good reason to justify billing 51701-51703 separately with most surgical and diagnostic codes. You-d mostly use 51701 for a temporary catheter insertion when the patient is having trouble voiding urine or the doctor wants to measure post-voiding residual urine. You-re unlikely to need to bill 51701 separately during a procedure, says urologist Michael Ferragamo, clinical assistant professor of...

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