Urology

Michael A. Ferragamo, Jr.

MD, FACS

Take an in-depth look at correct coding for urodynamics and urology services in 2019, with the help of coding guru Michael Ferragamo. You will learn all about the CPT, ICD-10, and Medicare updates for urology, as well as tips on E/M coding for urologists and urology coding for non-surgical hospital services. Uncover all the new, revised, and deleted CPT codes for urology, the latest on documentation and modifier use, and ICD-10 coding changes.


Sessions

2019 Urology and Percutaneous Nephrolithotomy (PCNL) Coding Update

Duration: 90 minutes | CEU: 1.5 AAPC CEUs

If you thought claims reimbursements were getting tougher, you were right. ICD-10-CM diagnostic codes for urology, effective on October 1, 2018 include 53 code changes, and the CPT® code changes will kick in on January 1, 2019. Both code sets will present major challenges in accurately presenting and reporting urology procedures and services.

Put yourself on the path to successful urology coding with industry veteran Michael Ferragamo, who will walk you through – with clinical examples – all the new CPT® and ICD-10-CM codes, and show you how to incorporate them into correct billing and coding. Ferragamo will teach you how to code the Rezum procedure in 2019, and how to code the percutaneous nephrolithotomy (PCNL) procedure with new ancillary codes – including coding for treatment of renal calculi within a duplicated urinary system. You will learn the difference between uncertain and unspecified behavior codes, what is complete ICD-10-CM diagnostic coding for a patient, how to pick an ICD-10-CM code more easily, and the new codes for abnormal urinary findings. You will also receive expert tips and helpful comments on how to code accurately and receive appropriate reimbursement. After attending this session, you will be confident in your ability to submit correct claims, and know how to avoid payment denials, refunds, and revenue losses due to coding errors.


Laparoscopic and Robotic Surgery for the Urologist

Duration: 90 minutes | CEU: 1.5 AAPC CEUs

Laparoscopy and robotics have become a popular surgical technology for many surgical procedures – such as urological, general surgical, thoracic, and urogynecological. In many instances, this technology has replaced open surgery. There are many new CPT® codes used for billing these services. Unfortunately, many of these frequently performed laparoscopic/robotic procedures do not have specific procedural CPT® codes. In this session, Dr. Michael Ferragamo will walk you through the general concepts for coding these services, and provide specific tools, tips, and knowledge to properly code and bill to ensure you receive the correct payment for all laparoscopic/robotic procedures. He will demonstrate the use of specific CPT® codes for various clinical scenarios, explain what constitutes a robotic radical nephrectomy – and how to bill for it. Among other things, you will learn how to code for simple and radical prostatectomy, and how to code for the robotic performance of an ileal conduit and radical cystoprostatectomy at one encounter. Ferragamo will also teach you how to bill for various robotic lymphadenectomies, as well as how to bill when a robotic code does not exist.


Common Modifier Use in Urology

Duration: 90 minutes | CEU: 1.5 AAPC CEUs

The office of the Inspector General (OIG) recently discovered errors in the use of some of the most commonly used modifiers. These errors had resulted in overpayments to urologists and other providers. Because of this, CPT®, CMS and their reviewing agencies have increased their surveillance over the use of all modifiers. New modifiers have been installed to clarify the use of certain codes and procedures, and to limit the use of some modifiers. And certain modifiers have been identified for special observation and investigation as to their correct usage.

In this session, Dr. Michael Ferragamo will arm you with the information you need to avoid the misuse of specific modifiers, and show you how. He will explain the overall use of modifiers in general that will help you to avoid denials and ensure that you receive proper payments. Ferragamo will provide tips on coding new and old modifiers, along with clinical examples, and get you clear on when modifiers should and should not be used, using right criteria. You will learn how to properly use modifier 59 and the relatively new modifiers such as X{ESPU} in its place, as well as when and how the new modifiers should be used. You will also learn how to properly use problem modifiers such modifier 25 with E&M services, and how to avoid denials when using this modifier. Ferragamo will teach you what criteria to use for modifiers 24, 57 and 58, explain which modifiers should be used when sharing patient surgical care, how to bill for post-surgical care within the global period, how to bill for surgeries and postoperative care given by different unrelated physicians, and more.


Coding for Special E&M Services in Urology

Duration: 90 minutes | CEU: 1.5 AAPC CEUs

With the shifts in healthcare spending, other unusual patient visits for care, decreasing reimbursements, and physician shortage, many urologists are looking at other sources of billing for visits that they may have not billed in the past. Even today, many general and specific types of urological services are not at all billed – or coded incorrectly – leading to loss of revenue, denials, and refunds.

In this session, Dr. Michael Ferragamo will review the CPT® codes, and teach you with the help of clinical scenarios what codes to use for fully payable services – such as consultations, incident to visits, shared visits, emergency room visits, critical care, and observation services. Ferragamo will walk you through the shared visit rules that will help you save lost revenue, explain the differences between shared and incident to visits, show you how to submit NPP services and receive 100% global payments, and how to bill observation services. You will learn when you can bill incident services, how to review an incident to audit list, when and how you should code for an emergency consultation in the emergency room, and how to code for a patient in observation consultation. You will know what CPT® codes you should now use for repeat consultations in the hospital, what is required to bill for critical care services, and much more. You will not want to miss this session, because Ferragamo will provide invaluable tips on how to code for those special and often unappreciated services that you might be losing money on.