UCR 145: Complication modifier (-78) POS discussion; FAQs - laparoscopic evaluation ureter, E/M and therapeutic injection (ADT) in the same visit, code for stone removal using forceps - no cysto Artwork

Urology Coding and Reimbursement Podcast

The Urology Coding and Reimbursement Podcast is for Urologists and urology practice staff: Administrators, APPs, Billers and Coders. We help urologists and staff achieve peak economic and practice efficiency so there is time and energy to focus on patient care and a happy life. Your cohosts, Mark, Scott and Dr. Ray Painter discuss urology coding and share best practices for the urology office. We will answer submitted urology coding questions so that you can learn the concepts and apply in your practice. Learn the best practices: urology coding, revenue cycle management, scheduling, collections, patient information collection, pre-authorization, prior approval, charge capture, office communications, claim entry review, appeals, audits and billing, that we have tested and proven so you can adapt and incorporate.

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Urology Coding and Reimbursement Podcast

UCR 145: Complication modifier (-78) POS discussion; FAQs - laparoscopic evaluation ureter, E/M and therapeutic injection (ADT) in the same visit, code for stone removal using forceps - no cysto

May 19, 2023 • Episode 145

0:00 | 34:48

May 19, 2023

Mark, Ray, and Scott talk about a question Dr. John Lin asked on a recent Noridian Mac Call about billing a Modifier -78 with POS 11 (hear the recording on the Thriving Urology Facebook Group). Also, they answer 3 questions that came into the Urology Coding and Reimbursement Group.

Robot-assisted Laparoscopic Evaluation of LEFT Distal Ureter:
How would you code this? dr put 50949.
Hello,
We have a question for your regarding ADT injections/visits for:
Eligard injection- HCPCS: J9217
Camcevi injection-HCPCS: J1952
We have recently hired an experienced NP to launch an Advanced Prostate Clinic. For our pts on ADT therapy, can they be seen by our NP and bill a level 3 or 4 office visit as she will be discussing bone health, sexual health, and incontinence issues?
What are other clinics doing nationwide for this type of visit and what is appropriate/recommended? Please let me know if there is any additional information I can provide.
I really enjoy your webinars, thank you so much for providing this service!
[To clarify, this would be for an E/M and therapeutic injection (ADT) in the same visit? ]
Thank you,
Riley
Is there a cpt code for removal of a urethral stone using forceps, no cysto involved? Every code I see is for cysto with removal. Can we bill a 52310 with a modifier 52 for reduced services? Or should we use unlisted code 53899?

Thank you!

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