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The Centers for Medicare & Medicaid Services (CMS) finalized in the 2018 Medicare Physician Fee Schedule (MPFS) final rule their proposal to remove oxygen gas supply item (SD084) from a series of CPT codes that were previously valued with moderate sedation as an inherent part of the procedure. It occurred to CMS, after finalizing the […]
AAPC Knowledge Center
I am very unfamiliar with coding this particular specialty. Please help me if you can.
Scenario: Cystourethrocopy with two lesions removed from different locations in bladder. One is 1.6 cm bladder tumor of the lateral wall. The other is 0.9 cm in the anterior wall. What coding rule applies? :confused:
a. Code the cystourethrocopy only.
b. Code using two CPT codes with modifier 59.
c. Code the largest tumor only.
d. Code using two CPT codes.
Thanks for your help with this! 
Respectfully,
Charity
I am very unfamiliar with coding this particular specialty. Please help me if you can.
Scenario: Cystourethrocopy with two lesions removed from different locations in bladder. One is 1.6 cm bladder tumor of the lateral wall. The other is 0.9 cm in the anterior wall. What coding rule applies? :confused:
a. Code the cystourethrocopy only.
b. Code using two CPT codes with modifier 59.
c. Code the largest tumor only.
d. Code using two CPT codes.
Thanks for your help with this!
Respectfully,
Charity
CMS and the NCCI has removed the current edit prohibiting the reporting of CPT codes 77295 and 77300 together, effective July 1, 2016. The change will be finalized in the July version of the NCCI Manual and will be retroactive to January 1, 2016. Reporting requirements may vary by payer:
Claims reported to Medicare contractors:
Claims reported to private payers:
Click here to read the original article on the prohibition of reporting 77295 and 77300 together.
The Medical Management Institute – MMI – Medical Coding News & MMI Updates