52000 cpt code description

    • [PDF File]Review CPT Coding Changes Affecting Urologists

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      • Guidance was given to use CPT code 51999 Unlisted laparoscopy procedure, bladder. • The AUA CRC reviewed the current CPT code(s) available for cystectomy (CPT 51550-51596) and determined that these codes are not approach dependent. There are no current vignettes or description of service.


    • [PDF File]Chapter 12 Urinary System and Male Genital System

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      bladder) was performed. In the CPT® Index, look up Cystoscopy (52000). ICD-9-CM codes: Because there were findings of new bladder lesions, you will report the bladder lesion as your diagnosis. In the Index to Diseases, look up, Lesion/ bladder (596.9). This is an unspecified code, but because the note clearly states “lesion,” you will ...


    • [PDF File]New and Revised CPT Codes for Urology Effective January 1 ...

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      There are several Current Procedural Terminology (CPT®) code changes that urologists should ... revised description. Old CPT code descriptor: CPT 54640 - Orchiopexy, inguinal approach, with or without hernia repair ... (Do not report 0582T in conjunction with 52000, 72195, 72196, ...


    • [PDF File]1D-The Correction of Common Coding Problems in Urology [gjv]

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      • Code the primary diagnosis first • Code to the fourth or fifth digits • Code chronic diseases when treated • Code all conditions affecting your care • Do not code diagnoses that are possible, R/O, or suspected (Symptoms are acceptable) 2/23/12 6 ... Source: 2011 CPT® ...


    • [PDF File]Dental and Oral Surgical Procedures

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      CPT Code Description 21296 . Reduction of masseter muscle and bone (e.g., for treatment of benign masseteric hypertrophy); intraoral approach . 21299 : Unlisted craniofacial and maxillofacial procedure . 21421 : Closed treatment of palatal or maxillary fracture (LeFort I type), with interdental wire fixation or fixation of


    • [PDF File]Flexible Cystoscopy 2018 Reimbursement Guide

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      CPT® Code Physician Payment ASC Payment Separate procedure 52000 $85.68 $294.63 With ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service 52005


    • Medical Necessity Guidelines: Procedures for the Treatment ...

      The following CPT code(s) require prior authorization: Code Description 52601 Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included) 52630


    • [PDF File]CPT Code and Modifers Description

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      CPT Code and Modifers Description 90 day Global Period 50010 Exploration of kidney 90 50020 Renal abscess open drain 90 50040 Drainage of kidney 90


    • [PDF File]2021 Temporary Ureteral Stent Placement or Removal

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      sources that may include, but are not limited to, the CPT® coding system, Medicare payment systems, commercially available ... (Do not report 52332 in conjunction with 52000, 52353, 52356 when performed together on the same side) ... Code Procedure Description 3 Facility Payment (National Medicare Avg)1 APC Facility Payment


    • [PDF File]Coding for Sling Operations, Sling Revision and Urethrolysis

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      CPT code Description Work RVU Total RVU’s (Facility) 57288 Sling operation for SUI (fascia or synthetic) 12.13 20.40 57287 Removal or revision of sling for SUI (fascia or ... 52000 can be reported with the appropriate modifier. The global service includes postoperative visits to remove or replace bladder catheters.


    • [PDF File]UnitedHealthcare Medicare Advantage Cardiology Prior ...

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      CPT i Code . c n. d. CPT Description Inc l u e s G ene r a t or P l a c eme t Inc l u d e s L e ad P l a c eme n t Inc l u d e s R em o v al o f E x i s t n g D e v i e D e v i c e T y pe. 33206 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial Yes . Yes . No . Pacemaker : 33207


    • [PDF File]TAR and Non-Benefit List: Codes 50000 thru 59999 (tar and ...

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      Code Description Benefit Restrictions 51999 Unlisted laparoscopy procedure, bladder Requires TAR, Primary Surgeon/ Provider Endoscopy – Cystoscopy, Urethroscopy, Cystourethroscopy Code Description Benefit Restrictions 52000 Cystourethroscopy Assistant Surgeon services not payable 52001 Cystourethroscopy with irrigation and evacuation of


    • [PDF File]Coding for Sling Operations, Sling Revision and Urethrolysis

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      CPT code 51992 . Laparoscopic sling operation of stress incontinence (fascia or synthetic) CPT code 53500 . Urethrolysis, travsvaginal, secondary, open, including cystourethroscopy. CPT codes and RVU table from 2021 National Physician Fee Schedule: CPT code Description Work RVU Total RVU’s (Facility) 57288 Sling operation for SUI


    • [PDF File]Coding Urology (Male) Procedures

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      • 52000 • 52010 • 52204-52285 • 52305-52318 • No modifier 50 Unilateral procedure • 52005 • 52007 • 52320-52355 • Modifier LT, RT • Modifier 50 as appropriate Reference: CPT Assistant, May 2001, Page: 5 Hospital vs. ASC centers • Unit “1” vs. “2” 15 General Use of Modifiers CPT/ HCPCS SI Description 2007 final


    • [PDF File]2021 Reimbursement Guide for Ambulatory Surgical Centers

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      CPT® Code Description ASC Payment Physician Payment 52000 Cystourethroscopy (separate procedure) $291.24 (APC 5372) $81.30 52204 Cystourethroscopy, with biopsy(s) $801.06 (APC 5373) $142.71 52214 Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral


    • [PDF File]Photocure 2020 Reimbursement Guide - Cysview

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      procedures (CPT codes 52204, 52214 and 52224), Medicare will provide increased payment when Blue Light Cystoscopy is performed. To facilitate this payment, CMS created a new add-on code [HCPCS code C9738 (Adjunctive blue light cystoscopy with fluorescent imaging


    • [PDF File]Surgery: Urinary System (surg urin) - Medi-Cal

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      CPT code 52332 (cystourethroscopy, with insertion of indwelling ureteral stent) is not reimbursable with CPT codes 52000, 52353 and 52356 when performed together on the same side. CPT code 52353 (cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy)



    • [PDF File]CORRECT CODING INITIATIVE’S

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      HCPCS/CPT code descriptors HCPCS/CPT code 15271 is bundled into HCPCS/CPT code 37760. For example, the code descriptor for CPT code 33612 is “Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction” and the code descriptor for CPT code 33611 is “Repair


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