As the year comes to a close, we revisit some of this year’s top content on coding and reimbursement for urologic procedures.
Coding in urology is constantly evolving.In light of all that has occurred over the past year, Urology Times® is counting down the top pieces of content surrounding coding and reimbursement in urology in 2022.
Two experts highlighted recent trends in medical audits and what physicians can expect with the US Centers for Medicare and Medicaid Services’ (CMS) changes in 2021 to the documentation of Evaluation and Management (E/M) codes. Read more.
Due in part to pressure from associations and lobbying groups, Congress stepped in to help providers avoid some cuts with the passage of the Protecting Medicare and American Farmers from Sequester Cuts Act, which became law on December 10, 2021. Read more.
In this video, Shirley Lee, CRNP-FNP, MPH, explains how non–face-to-face care coordination is reimbursable. Watch now.
"As for the case described of a 75-minute audio-only E/M visit, there has been no specific coding guidance provided by CPT," wrote Jonathan Rubenstein, MD, and Mark Painter. Read more.
"For several reasons, the percutaneous nephrolithotomy codes needed to be revised, as the language of the descriptor and what was included and not included was confusing and ambiguous," wrote Jonathan Rubenstein, MD, and Mark Painter. Read more.
On January 1, the following CPT code will be active: 55867 (laparoscopy, surgical prostatectomy, simple subtotal [including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy], includes robotic assistance, when performed). Read more.
The Centers for Medicare & Medicaid Services (CMS), Division of Outpatient Care, confirmed that CPT code 64590 applies to eCoin, a leadless tibial neurostimulator approved by the FDA for the treatment of urinary urge incontinence. Read more.
"We once again note that even success in the efforts to avoid any payment decreases will be a failure in the long run as overhead continues to rise against flat reimbursement," wrote Jonathan Rubenstein, MD, and Mark Painter. Read more.
Experts discussed payer edits referencing ICD-10-CM guidelines such as “Excludes 1.” Read more.
Using administrative claims data, investigators analyzed the opioid prescriptions filled for vasectomies before and after the expansion of Blue Cross Blue Shield of Michigan's modifier 22 program. Read more.