Stop Forfeiting Payment for Vasectomy and Vasectomy-Related Visits

Event Information
Product Format
Prerecorded Event
Leesa A. Israel, BA, CPC, CUC, CPPM, CMBS
Conference Date
Wed, Jul 21, 2010
60 Minutes
Product Description

Make sure you're using the right codes to capture appropriate vasectomy reimbursement.

Recouping reimbursement for an elective vasectomy can be a challenge, but you'll stand a better chance of getting paid if you can show proper authorization for the procedure and pay close attention to individual payer requirements.

The dilemma: Medicare doesn't cover elective vasectomies at all. And, although more private carriers are covering at least a portion of the cost, coders often don't know how to report the procedure to ensure payment.

In this 1-hour webinar, Leesa A. Israel, CPC, CUC, CMBS, will discuss how to code vasectomy procedures based on the type of procedure the urologist performs. She will also explain time and age requirements, which are often keys to payment.

PLUS: Leesa will offer tips on how to get the patient involved in the process to ensure that he knows his payment responsibilities. And will also cover how to code for pre-vasectomy visit your urologist has with the patient.

Here's a look at some of the things Leesa will cover:

  • You know you need to support pre-vasectomy visit and vasectomy procedure coding with a diagnosis code that proves medical necessity, but payers vary on which V code they accept. Learn your options and best strategies to guarantee claims success.
  • While Medicare doesn't cover elective vasectomies, Medicaid does — but only if you follow some strict rules. Learn what hoops you need to jump through if you want to get paid.
  • Don't let the term "consultation" in the urologist's pre-vasectomy visit documentation trick you. You won't necessarily be able to report 99241-99245.
  • If you skip reporting the pre-vasectomy office visit, you're forfeiting money and could be costing your urologist hundreds of dollars each year. Learn how to properly capture payment for this service.
  • When your urologist performs the vasectomy at the same time a general surgeon performs a hernia repair, you'll likely need a modifier on your claim. Find out which one.
  • Include surgical tray and supply charges in your vasectomy procedure code, with a few exceptions. Learn what those exceptions are.
  • After the vasectomy, the urologist must examine the semen to determine the eventual absence of sperm, but that doesn't mean you can separately report that service. Know the rules to avoid denials.
  • If you want to be sure your payer will not bundle the pre-vasectomy visit with the vasectomy procedure, your urologist may want to conduct the services on separate days. But that doesn't always work out, so here's how to report same-day services.

Who should attend? Urologists, urology coders, anyone in a urology practice who deals with coding and billing.

Order Below or Call 866-458-2965 Today

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About Our Speaker

Leesa A. Israel - Urology Coding Expert


Leesa A. Israel, BA, CPC, CUC, CPPM, CMBS, specializes in medical coding and reimbursement for physician practices, as well as billing and collections policies and strategies. Leesa is currently the Audit Training Manager of the Coding Institute’s Consulting & Revenue Cycle Solutions. In this role, she provides auditing, consulting, and education services to practices around the country in a variety of areas, including urology, general surgery, and evaluation...   More Info
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