Modifier use without supporting documentation could be considered fraudulent, write Ray Painter, MD, and Mark Painter.
In this "Coding Q&A" column, Ray Painter, MD, and Mark Painter also answer questions regarding bladder instillations and penile modeling during IPP placement.
In this article, we review mistakes made throughout the billing, documentation, and coding processes and what you can do to prevent them.
"When submitting an unlisted code for a procedure, you of course need to submit your documentation and we recommend a cover letter or explanation of the service including a comparative value or charge based on a similar code," write Ray Painter, MD, and Mark Painter.
In this Coding Q&A column, the Painters discuss the tricky question of whether you can bill for stone prevention counseling, and also answer a question about whether you can bill two instillation codes (51700) for one appointment.
In this edition of "Coding Q&A," Ray Painter, MD, and Mark Painter also discuss the use of the –59 modifier when instilling mitomycin after TURBT, and whether you can charge for a establishing a treatment on the same day for a patient on whom you have just performed a cystoscopy.
In this column, we outline the issues that we know will be important in 2014 and discuss what we think might be implemented by Medicare for 2014.
Make sure that you are coding correctly for the instillation based on the type of drug you are using and charge separately for the drugs that are instilled.
What does this all mean to the practicing urologist? Here is an overview of what to expect in the months and years ahead.
In a recent audit of urodynamics charges, Medicare recognized some codes but not others, and the documentation for all services that were reviewed only included the report from the urodynamics machine. This review pointed out the lack of understanding of these codes by payers and physicians.