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Urology/ Nephrology a Comprehensive Illustrated Guide to Coding and Reimbursement

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Urology/ Nephrology a Comprehensive Illustrated Guide to Coding and Reimbursement CODING COMPANION Urology/ Nephrology A comprehensive illustrated guide to coding and reimbursement SAMPLE 2022 optum360coding.com ATUN_ATUN21_CVR_Final.indd 1 5/7/2020 1:39:27 PM Contents Getting Started with Coding Companion..................................i Penis................................................................................................... 328 CPT Codes ...............................................................................................i Testis ................................................................................................. .364 ICD-10-CM...............................................................................................i Epididymis........................................................................................ 379 Detailed Code Information.................................................................i Tunica Vaginalis............................................................................... 386 Appendix Codes and Descriptions....................................................i Scrotum............................................................................................. 389 CCI Edit Updates....................................................................................i Vas Deferens .................................................................................... 394 Index.........................................................................................................i Spermatic Cord................................................................................ 398 General Guidelines ...............................................................................i Seminal Vesicles.............................................................................. 402 Prostate............................................................................................. 405 Urology and Nephrology Procedures and Services..................1 Reproductive ................................................................................... 419 E/M Services ......................................................................................... 1 Intersex Surgery.............................................................................. 420 Integumentary...................................................................................34 Vagina................................................................................................ 421 Arteries and Veins .............................................................................52 Medicine Services........................................................................... 430 Lymph Nodes .....................................................................................72 HCPCS................................................................................................ 445 Abdomen ............................................................................................81 Appendix .......................................................................................... 447 Kidney................................................................................................106 Ureter .................................................................................................172 Correct Coding Initiative Update ...... ................................. 459 Bladder...............................................................................................214 Urethra...............................................................................................287 Index..................................................................................... 531 SAMPLE CPT2 © 20 1 American Medical Association. All Rights Reserved. © 2021 Optum360, LLC Coding Companion for Urology/Nephrology Contents — i Getting Started with Coding Companion Coding Companion for Urology/Nephrology is designed to be a guide Category II codes are not published in this book. Refer to the CPT to the specialty procedures classified in the CPT® book. It is book for code descriptions. structured to help coders understand procedures and translate physician narrative into correct CPT codes by combining many CCI Edit Updates The Coding Companion series includes the list of codes from the clinical resources into one, easy-to-use source book. official Centers for Medicare and Medicaid Services’ National Correct The book also allows coders to validate the intended code selection Coding Policy Manual for Part B Medicare Contractors that are by providing an easy-to-understand explanation of the procedure considered to be an integral part of the comprehensive code or and associated conditions or indications for performing the various mutually exclusive of it and should not be reported separately. The procedures. As a result, data quality and reimbursement will be codes in the Correct Coding Initiative (CCI) section are from version improved by providing code-specific clinical information and XX.X, the most current version available at press time. The CCI edits helpful tips regarding the coding of procedures. are located in a section at the back of the book. Optum360 CPT Codes maintains a website to accompany the Coding Companions series For ease of use, evaluation and management codes related to and posts updated CCI edits on this website so that current Urology/Nephrology are listed first in the Coding Companion. All information is available before the next edition. The website address other CPT codes in Coding Companion are listed in ascending is http://www.optum360coding.com/ProductUpdates/. The 2022 2 numeric order. Included in the code set are all surgery, radiology, edition password is: XXXXXX 2. Log in each quarter to ensure you laboratory, and medicine codes pertinent to the specialty. Each CPT receive the most current updates. An email reminder will also be code is followed by its official CPT code description. sent to you to let you know when the updates are available. Resequencing of CPT Codes Index The American Medical Association (AMA) employs a resequenced A comprehensive index is provided for easy access to the codes. The numbering methodology. According to the AMA, there are instances index entries have several axes. A code can be looked up by its where a new code is needed within an existing grouping of codes, procedural name or by the diagnoses commonly associated with it. but an unused code number is not available to keep the range Codes are also indexed anatomically. For example: sequential. In the instance where the existing codes were not 69501 Transmastoid antrotomy (simple mastoidectomy) changed or had only minimal changes, the AMA assigned a code out could be found in the index under the following main terms: of numeric sequence with the other related codes being grouped together. The resequenced codes and their descriptions have been Antrotomy placed with their related codes, out of numeric sequence. Transmastoid, 69501 CPT codes within the Optum360 Coding Companion series display in OR their resequenced order. Resequenced codes are enclosed in Excision brackets for easy identification. Mastoid ICD-10-CM Simple, 69501 Overall, the 10th revision goes into greater clinical detail than did General Guidelines ICD-9-CM and addresses information about previously classified diseases, as well as those diseases discovered since the last revision. Providers Conditions are grouped with general epidemiological purposes and The AMA advises coders that while a particular service or procedure the evaluation of health care in mind. New features have been may be assigned to a specific section, it is not limited to use only by added, and conditions have been reorganized, although the format that specialty group (see paragraphs two and three under and conventions of the classification remain unchanged for the “Instructions for Use of the CPT Codebook” on page xiv of the CPT most part. Book). Additionally, the procedures and services listed throughout the book are for use by any qualified physician or other qualified Detailed Code Information health care professional or entity (e.g., hospitals, laboratories, or One or more columns are dedicated to each procedure or service or home health agencies). Keep in mind that there may be other to a series of similar procedures/services. Following the specific CPT policies or guidance that can affect who may report a specific code and its narrative, is a combination of features. A sample is service. shown on page ii. The black boxes with numbers in them correspond to the information on the pages following the sample. Supplies Some payers may allow physicians to separately report drugs and Appendix Codes and Descriptions other supplies when reporting the place of service as office or other Some CPT codes are presented inSAMPLE a less comprehensive format in the nonfacility setting. Drugs and supplies are to be reported by the appendix. The CPT codes appropriate to the specialty are included in facility only when performed in a facility setting. the appendix with the official CPT code description. The codes are presented in numeric order, and each code is followed by an Professional and Technical Component easy-to-understand lay description of the procedure. Radiology and some pathology codes often have a technical and a professional component. When physicians do not own their own The codes in the appendix are presented in the following order: equipment and send their patients to outside testing facilities, they should append modifier 26 to the procedural
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