tci Part B Insider - 2004 Issue 16
Part B Coding Coach: 4 Tips Improve Your 51701
Combat E/M and catheterization denials with documentation, diagnoses and modifierWhen billing for office visits that result in urine catheterizations, you may face denials for the E/M, the catheterization and/or the catheterization kit. But you can recoup payment when you follow these four steps: 1. Document Separate E/M You should bill for an office visit (99201-99215, Office or other outpatient visit for a new or established patient...) in addition to urine catheterization (51701, Insertion of non-indwelling bladder catheter [e.g., straight catheterization for residual urine]) if documentation supports a separately identifiable E/M service. Usually, the physician will perform a...
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