August 18, 2023

Ray, Mark, and Scott discuss 3 questions that came into the Urology Coding and Reimbursement Group (see below for link to sign up free):

1. Hello, I still need more clarification on billing CPT 52332 and CPT 52005 if in the description states that retrograde pyelogram was used/performed. Its correct to bill for both codes?
2. Hello, I have a question regarding CPT code 99457 & 99458. I have a provider who is working with Starling pilot and wanted to start billing these codes. Can you please advise what are the guidelines for these codes? Thank you so much!
3. Hello, I have a question regarding urodynamics. I have a new provider selecting code 51729 but when reviewing his documentation I do not see an urethral pressure profile study. What should the documentation include to capture this code? Are there certain values we should be looking for?

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