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Review CPT Coding Changes Affecting Urologists

Review CPT Coding Changes Affecting Urologists Edna Maldonado, CPC, ASC-UR, AHIMA ICD-10 Trainer Differences of Opinion Due to the complexity of Coding guidance and the variety of interpretation of that guidance by payers, Coding experts can often have differences of opinion on certain issues. Each billing provider should interpret varying opinions offered based on his/her own situation and code claims in his/her best judgment, realizing the inherent risk of recoupment. Imaging Guidance When imaging guidance or imaging supervision and interpretation is included in a surgical procedure, guidelines for image documentation and report, included in the guidelines for Radiology ( including Nuclear Medicine and Diagnostic Ultrasound) will apply.

performance of secondary procedures can be captured by using the cystourethroscopy codes. For example, endoscopy of an ileal loop with removal of ureteral calculus would be coded as cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus (52320).

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