How do you bill for urodynamics?

How do you bill for urodynamics?

Report the CPT code with the highest RVU first. In most cases, this will be either 51729, 51728, 51727, or 51726. All other codes are reported with the -51-modifier appended, to designate additional procedures. Typically, this would be attached to a complex uroflowmetry study done at the same time e.g. 51741-51.

Does CPT code 51798 need a modifier?

Your biller is correct at this time. When billing Medicare, you do not need a –25 modifier attached to the E/M when billing with 51798 (Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging).

Does Medicare pay for 51798?

Here’s why: Medicare’s fee schedule does not split 51798 into professional and technical components, so you can’t split the reimbursement by appending modifiers 26 (Professional component) and TC (Technical component).

What revenue code should be billed with 51798?

Group 1

What is the CPT code for urodynamics?

The Current Procedural Terminology (CPT®) code 51728 as maintained by American Medical Association, is a medical procedural code under the range – Urodynamic Procedures on the Bladder.

Is 51798 a surgical procedure?

Code 51798 reads: Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging. As such, the code is not treated the same as other ultrasound codes with regard to documentation requirements.

Can 51798 and 51702 be billed together?

But since this is an indwelling catheter that is left in place following the procedure (51702), it does not bundle and both codes can be reported.

When do you use modifier 24?

Use CPT modifier 24 for unrelated evaluation and management service during a postoperative (global) period. The global period of a major surgery is the day prior to, day of and 90 days after the surgery.