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Urolift – Payment for Failed Clips

One of our physicians recently started doing Urolift procedures on some of his BPH patients. Things were rolling along smoothly for him until this last week when several of his procedures are documented as having what he calls "pull-throughs" or clips that he attempted to place that didn’t hold and were pulled out during the course of the procedure. I’m not familiar enough with the billing for the procedure to know if I can charge for the failed clips, and I haven’t been able to find anything on-line. Does anyone know if it is appropriate to bill for the clips that didn’t hold?

Scenario: Physician uses a total of 6 clips. Four clips were successfully placed, two more were deployed but failed to hold and were "pull-throughs".

Codes(?): 52441, 52442 x 3 OR 52441, 52442 x 5

Medical Billing and Coding Forum