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.
Urology Coding and Reimbursement Podcast
UCR 063: FAQs; 51728 and 51729 differentiation, Criteria for 45990, F/U visit and provider did a PVR can use -25
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Episode 63
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August 9, 2021
Question 1: 49 Seconds
What documentation could I look for to differentiate 51728 and 51729. There is no clear mention of “urethral pressure profile study” in UDS documentation.
Question 2 - minute 10:22
What are the criteria for billing 45990 - the CPT book lists "requiring" anesthesia.
Can I bill 45990 since the DRE was done under anesthesia after a cystoureteroscopy
Can I bill 45990 since the DRE was done under anesthesia after a cystoureteroscopy
Question 3 - 15:19
If patient came in for f/u visit and provider did a pvr. Should you bill E&M code with Mo-25?
Medicare prime
51798
99214-25
Medicare prime
51798
99214-25
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