Tag Archives: urology billing and coding

Avoid the Top 10 Modifier Mistakes – Modifier 58

Matching CPT code with an ICD 10 code, this would seem to be a very straightforward process but there are always variations/exceptions to everything. Sometimes, there are related services that the physician is performing, global periods to contend with, etc. … Continue reading

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Appropriate Use of Modifiers XE, XP, XS, XU, or 59

Modifier 59 is the most widely used HCPCS modifier. This modifier is associated with considerable misuse and high levels of manual audit activity, leading to reviews, appeals, and even civil fraud and abuse cases. The introduction of four ‘X’ subset … Continue reading

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How accurate you can use Modifier 58 in Medical Billing?

The modifier 58 is defined by CPT as “staged or related procedure or service by the same physician during the post-operative period.” It may be necessary to indicate that the performance of a procedure or service during the postoperative period … Continue reading

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Using Modifier 59 (Distinct Procedural Service) Effectively

When used appropriately, coding modifiers help practices code appropriately and collect revenue to which they’re entitled. The key here is -when used appropriately. A modifier should never be used just to get higher reimbursement or to get paid for a … Continue reading

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Why you should tread carefully when using modifiers -25 and -59 in Urology Billing?

The Urological Supplies Local Coverage Determination (LCD) provides for the use of modifiers with each submitted HCPCS code to indicate whether the applicable payment criteria are met KX modifier and to provide other information related to coverage and/or liability (GA, … Continue reading

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Pre-operative and New-Visualization Technique for Urology Practice

Urology is a specialty medical stream which has been always at the forefront of research and innovation. Medical and healthcare segment is ever evolving field hence; no wonder if there are newer technologies put to practice. These technologies have been … Continue reading

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Structure of Urology Medical Billing you should understand

Urology medical billing is the process by which healthcare practitioners bill insurance companies for services provided to patients. In order to complete this formality, medical billing and coding experts assign designated codes to various procedures to restructure the process of … Continue reading

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