tci Part B Insider - 2007 Issue 30

UROLOGY: Watch Out For Trouble Signs -- And Add An Extra $62 To Your Reimbursement

Just because some other doctor had trouble, doesn't mean your urologist gets a bonusQuestion: When should you use 51703 instead of 51702? Medicare pays around $153 for 51703, as compared with $92 for 51702. Many coders may be missing out on this extra reimbursement because they always default to the lower-paying code, say experts. You can bill 51703 when the doctor has a harder time with a temporary catheterization.Sometimes the doctor may have trouble inserting a catheter because the patient has an enlarged prostate or urethra stricture, says Diane Brooks, a coder with Montgomery Hospital in Norristown, PA...

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