tci Medicare Compliance & Reimbursement - 2007 Issue 36
COMPLIANCE: Correct Coding Initiative HIts Catheterization, Prostate Surgery Hard
Make sure your documentation justifies an extra $100 per procedureHeads up: October's update to the Correct Coding Initiative, version 13.3, bundles 51701-51703 with a whopping 4,638 codes each. You can use a modifier to override these edits, but you'll need a good reason to justify billing bladder catheter insertion codes 51701-51703 separately with most surgical and diagnostic codes.You'd mostly use 51701 for a temporary catheter insertion when the patient is having trouble voiding urine or the doctor wants to measure post-voiding residual urine. You're unlikely to need to bill 51701 separately during a procedure, says urologist...
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