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UTI – PCR UPDATE: Summary – The following Medicare Administrative Contractors (MAC) aka Carriers, have issued a proposed multi-jurisdictional Local Coverage Decision (LCD) for Multiplex Nucleic Acid Amplification Test (NAAT) PANELS FOR INFECTIOUS DISEASE Testing, Wisconsin Physician Services Insurance Corporation, CGS Administrators, LLC., Noridian Healthcare…
I’m wondering whether you could provide some guidance on this coding situation. A patient had a transurethral resection of the prostate (TURP) 2 years ago but was having symptoms of increased frequency, nocturia, and slow stream. The provider performed a…
New and updated codes encompass balloon continence devices, hypospadias Current Procedure Terminology (CPT) codes are continuously being updated. New and updated Category I and III codes will become active on January 1, 2022. In addition, some other Category III codes…
I am wondering if code 38571-52 would be appropriate in the following scenario at the time of a robot-assisted laparoscopic prostatectomy: Patient is noted to have a paucity of lymph node tissue overlying the left iliac vein and obturator nerve.…
“Determining the PVR as part of a urodynamics test is part of the test itself and included in the payment already,” write Jonathan Rubenstein, MD, and Mark Painter. When my provider is doing urodynamic studies, they are documenting “Post Void…
“Placing a catheter to irrigate obstructing blood clots (CPT 51700) is specifically included in the payment for the TURP if this complication is managed outside of an operating room,” write Jonathan Rubenstein, MD, and Mark Painter. Can you please tell…
Medical necessity must be documented on the chart in order to bill code. I read the article “What is included in the global period for TURP?”1 The article stated that the urinary catheter is included. Can you please also note whether 51798…
• G2211 will not be paid until January 1, 2024. This provision was added to the stimulus package by Congress. CMS will have to comply. We have not yet seen the specific directives from CMS as the bill is not law. Once…
Jonathan Rubenstein, MD, and Mark Painter discuss what CPT code to use for aspirating the sterile water out of an inflatable penile prosthesis. Which CPT code would you use for aspirating the sterile water out of an inflatable penile prosthesis?…
Use CPT code 52310 when a dangle is within the urethra and a grasper is used. What is the correct coding for a patient who has a stent removed with an externally accessible dangle or if a cystoscopy is performed…
