MSP Billing Codes

Specialty: Msp Billing Codes By Specialty

Category: Urology

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Code	Description	Anes	Fee
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Bladder
08200	Bladder fulguration with cystoscopy	2	$158.13
08255	Closure of fistula - suprapubic, vesico-vaginal, vesico-rectal, or vesico-sigmoid	5	$713.74
08204	Cystectomy - partial for tumor or diverticulum	5	$711.34
08205	Cystectomy - partial for tumor or diverticulum	2	$285.00
08203	Cystolithotomy	2	$315.89
08202	Cystostomy by trochar-isolated procedure	2	$101.96
08201	Cystostomy-isolated procedure	2	$220.24
08254	Litholapaxy and removal of fragments	2	$280.41
08257	Transurethral removal of foreign body (excluding ureteric stents)	3	$252.75
08251	Transurethral resection bladder neck,female	3	$301.30
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08250	Transurethral resection bladder, urethral tumor & adjacent muscle & electrocoagulation, as nescessary	3	$321.78
08256	Transurethral resection external urinary sphincter	3	$303.07
08253	Y-v vesical neck plasty	4	$643.81
Consultations / Visits
00410	Consultation, neurology	0	$182.41
00406	Directive care, neurology	0	$90.08
00405	Emergency visit - neurology	0	$94.16
00441	Face to face acvs consultation - neurology	0	$215.58
00442	Face to face f/u neurological clin (without tpa)	0	$100.19
00443	Face to face f/u neurological clinical (with tpa)	0	$100.19
00444	Face to face follow up acvs relapse intervention	0	$80.14
00457	Neurology complex care - ext visit - per 15 min	0	$36.88
00450	Neurology complex care-extend consult - per 15 min	0	$58.10
00460	Neurology ext consult - transfer of care from peds	0	$388.18
00411	Repeat or limited consultation, neurology	0	$87.21
00409	Subsequent home visit, neurology	0	$41.02
00408	Subsequent hospital visit, neurology	0	$83.57
00407	Subsequent office visit, neurology	0	$88.11
00470	Telehealth consultation, neurology	0	$182.41
00476	Telehealth directive care, neurology	0	$90.08
00471	Telehealth repeat / limited consultation neurology	0	$87.21
00478	Telehealth subsequent hospital visit, neurology	0	$83.57
00477	Telehealth subsequent office visit, neruology	0	$88.11
Diagnostic Procedures
00866	Dynamic cavernosometry and avernosography	2	$79.05
Diagnostic Ultrasound
08399	Doppler evaluation of penile blood flow wave from evaluation of dorsal and cavernosal arteries. blood pressure recordings and calculation of penile brachial index	0	$47.43
Doppler Ultrasound
00468	Neurlolgy outpatient transcranial doppler ultra sound	0	$118.86
00469	Neurology outpat trans doppler ultra sound	0	$29.71
Electrodiagnosis
00905	Daily measurements of nerve conduction thresholds in facial palsy	0	$6.35
00906	Daily measurements of nerve conduction thresholds in facial palsy - maximum per course	0	$44.15
00927	Decamethonium test - for attendance at, and follow-up observation if necessary	0	$34.34
00900	Electrodiagnosis, extensive examination (sched. a)	0	$121.85
00901	Electrodiagnosis, limited examination (sched. b)	0	$81.49
00902	Electrodiagnosis, short examination (sched c)	0	$40.61
00922	Electrodiagnostic component of the decamethoniumedrophonium test for myasthenia gravis, inclusive of tetanic stimulation tests	0	$57.26
00914	Insertion of sphenoidal electrodes, , temporal lobe epilepsy, e.e.g.: recording	0	$43.61
00915	Intra-carotid injection of sodium amytal, speech localization test	2	$98.01
00926	Seizure activation with intravenous activating agents associated with insertion of sphenoidal and/or orbital electrodes	2	$147.86
00923	Technical fee for electrodiagnostic testing	0	$20.39
Endo-Urology
08168	Nephroscopy & stone removal-includes lithopaxy	4	$618.92
08155	Ureteral stent-internal-insertion,includes c&p &	3	$128.46
08146	Ureteroscopy basket manipulation ureteral calculus	3	$513.90
Epididymis
08347	Avulsion penile skin and scrotum - repair	2	$405.11
08342	Epididymectomy - unilateral	2	$279.07
08340	Epididymis-abscess,incision,complete care	2	$195.36
08343	Epididymovasostomy or re-anastomosis of vas,unilateral	2	$778.03
08353	Plastic repair of exotrophy & of bladder with skin	5	$1,329.95
08341	Spermatocele or hydrocele - excision	2	$252.90
08350	Urethro-vesical neck plasty for congenital incontinence	4	$1,032.76
08346	Varicocele resection	2	$392.06
08344	Vas cannulation, unilateral or bilateral	2	$126.41
08345	Vasectomy, bilateral	2	$101.51
Kidney and Perinephrium
08123	Extra-corporeal shock wave lithotripsy (eswl)	4	$222.55
81110	Laparoscopic nephrourecterectomy	6	$1,879.95
81104	Laparoscopic partial nephrectomy	5	$1,950.06
81114	Laparoscopic pyeloplasty, with or without insertion of ureteral stent, includes management of aberrant vessels and nephropexy, cystoscopy or retrograde pyelogram	7	$1,352.04
81105	Laparoscopic radical nephrectomy	7	$1,529.46
08105	Nephrectomy	5	$1,248.95
08106	Nephrectomy - ectopic kidney	5	$875.87
08104	Nephrectomy - partial	5	$1,350.91
08109	Nephrectomy - radical with gland dissection	6	$1,274.43
08108	Nephrectomy - thoraco-abdominal	8	$1,325.42
08110	Nephro-ureterectomy to include bladder cuff	6	$1,503.98
08117	Nephrolithotomy and/or pyelolithotomy	5	$778.42
08119	Nephrolithotomy or pyelolithotomy w renal cooling with or without x-ray control with or without nephroscopy	6	$739.23
08118	Nephrolithotomy or pyelolithotomy w x-ray control with or without nephroscopy	5	$843.15
08112	Open renal biopsy (as an independent procedure)	5	$316.22
08100	Perinephric abscess - drainage	5	$484.34
08114	Pyeloplasty includes nephropexy & mgmt of aberrant vessels & nephropexy	5	$866.47
08116	Ruptured or lacerated kidney-repair or removal	6	$1,264.25
08113	Symphysiotomy and nephropexy or nephrectomy in horseshoe kidney	5	$434.81
Miscellaneous
00424	Botulinum toxin injections	2	$118.82
00480	Dmt (disease modifying treatment) management	0	$152.77
81194	First surgical assist of the day-urology	0	$76.47
00462	Neurological interpretation and written report of submitted x-ray films (including ct scan, tcd, mri) per case	0	$52.48
Penis
08312	Circumcision-excludes clamp or bell technique	2	$204.77
08306	Clitoral recession	2	$252.82
08297	Deep dissection of intercrural region, with ligation of deep dorsal and cavernosal veins with or without ligation of crural veins (venous ligation for impotence)	2	$404.57
08301	Dorsal slit, isolated procedure	2	$101.69
08309	Femoral and inguinal glands,excision-bilateral	4	$1,325.53
08308	Femoral and inguinal glands,excision-unilateral	4	$917.67
08296	Insertion of semi rigid or self contained inflatable prosthesis following traumatic or surgical injury	3	$611.78
08307	Peyronies plaque, excision-with replacement graft	2	$796.60
08300	Priapism: sapheno-cavernous shunt	2	$569.16
08299	Radical amputation of penis	2	$606.84
08363	Revision of penile prosthesis (includes removal, correction of any mechanical failure, and replacement)	3	$862.64
08305	Simple amputation of penis	2	$462.03
Prostate
08317	Anti-incontinence procedure (artificial spincter)	4	$771.28
08319	Balloon dilation of prostate-includes cystoscopy	2	$227.26
81311	Holmium laser enucleation of prostate (holep)	5	$948.67
81305	Laparoscopic radical prostatectomy	7	$2,080.06
81310	Laparoscopic radical prostatectomy with plnd	7	$2,396.16
08311	Prostatectomy- perineal, suprapubic, retropubic and transurethral approaches	5	$474.92
08314	Prostatectomy- radical perineal retropubic prostate seminal vesiculectomy	7	$1,380.84
08318	Prostatectomy, radical, to include lymphadenectomy	7	$1,410.23
Referred Cases
08012	Consultation, repeat or limited, urology	0	$54.44
08010	Consultation, urology	0	$89.01
00488	Detailed cognitive assessment	0	$50.92
00491	Detailed cognitive assessment	0	$65.50
00492	Detailed cognitive assessment	0	$65.50
00487	Detailed cognitive assessment by behavioral neurol	0	$50.92
08005	Emergency visit - urology	0	$122.90
00485	Face to face assessment for ms-1st full half hour	0	$201.37
00486	Face to face assessment for ms-each add'l 1/2 hour	0	$100.19
08070	Telehealth consultation - urology	0	$89.01
08072	Telehealth repeat or limited consultation/urology	0	$54.44
08078	Telehealth subsequent hospital visit - urology	0	$42.86
08077	Telehealth subsequent office visit - urology	0	$38.98
08009	Visit, home, urology	0	$59.66
08008	Visit, hospital, urology	0	$42.86
08007	Visit, office, urology	0	$38.98
Special Examinations
00418	Activating agent by electro encephalographic	0	$22.50
00419	Electroclinical detailed interpretation of seizure	0	$405.04
00417	Electrocorticography	0	$229.48
00421	Electrocorticography in awake craniotomy	0	$494.52
00426	Electroencephalogram - sleep only	0	$157.85
00427	Electroencephalogram - sleep only - interpretation	0	$42.56
00428	Electroencephalogram - sleep only - technical fee	0	$115.31
00440	Electroencephalogram - sleep only - technical fee	0	$119.95
00413	Electroencephalogram - technical fee	0	$78.63
00415	Electroencephalogram and interpretation	0	$127.80
00416	Electroencephalogram interpretation neurologist	0	$49.18
40444	Follow up telestroke acvs relapse intervention	0	$80.14
40442	Follow up telestroke neurological clinical	0	$100.19
40443	Follow up telestroke neurological clinical monitor	0	$100.19
00420	Short study of electroclinical interp. of seizures	0	$208.56
40441	Telestroke consultation	0	$215.58
Testis
08323	Exploration scrotal contents - unilateral	2	$243.25
08324	Explore undescended testicle, without orchidopexy	2	$262.17
08354	Lymphadenectomy-retroperitoneal, post chemotherapy	4	$2,319.68
08330	Orchidectomy - inguinal approach	2	$341.58
08329	Orchidectomy - simple	2	$242.52
08322	Orchidopexy - one or two stages	2	$389.50
08325	Reduction of torsion of testis and spermatic cord repair - bilateral	2	$407.86
08349	Retroperitoneal lymphadenectomy for ca of testis	4	$2,039.27
08326	Testicle - ruptured -repair	2	$406.85
08328	Testis - recurrent undescended	2	$509.23
08327	Testis-biopsy	2	$151.50
Ureter
08145	Subureteric endoscopic injection for (vur)	2	$257.87
08161	Transurethral manipulation of ureteral calculus with recovery of calculus	3	$217.40
08160	Ureter reconstruction lower segmnt by bladder flap	5	$917.67
08154	Ureteral tailoring-bilateral,extra to 08148	5	$328.66
08153	Ureteral tailoring-unilateral,extra to 08152,08148	5	$232.58
08157	Uretero-cutaneous-anastomosis, unilateral	5	$668.09
08158	Uretero-sigmoid anastomosis, bilateral	5	$632.05
08156	Uretero-ureterostomy	5	$662.77
08163	Uretero-vesical anastomosis if ureterocele or ureteral duplication	5	$783.72
08159	Ureterolysis	5	$600.61
08151	Ureterotomy or removal of stump	5	$755.87
08147	Ureterotomy,ureteral lithotomy,upper & lower	5	$409.61
08148	Uretro-vesical reanastomosis - bilateral	5	$1,011.34
08152	Uretro-vesical reanastomosis - unilateral	5	$866.47
Urethra
81159	Buccal muscosa graft harvest, extra	0	$229.42
08271	Catheterization complex-male patient(op only)	0	$203.93
08282	Excision prolapse-urethra or caruncle -includes cystoscopy	2	$243.07
08274	Hypospadias-1st stage chordee,excludes urethrostom	2	$424.14
08277	Hypospadias-epispadias plastic repair,excludes ure	2	$657.31
08276	Hypospadias-penoscrotal,excludes urethrostomy	2	$1,011.46
08275	Hypospadias-second stage (penile) excludes urethro	2	$490.35
81153	Male suburethral sling, including cystoscopy	4	$713.74
08262	Meatotomy and plastic repair	2	$136.37
08232	Periurethral collagen injections	2	$237.30
08283	Retropubic or transvaginal tape (tvt) or transobturator tape (tot) operation for urinary incontinence	4	$332.03
08265	Stricture of urethra - dilation in hospital, isolated procedure, w or wo anesthesiology	2	$49.38
08266	Stricture of urethra - first stage plastic repair	3	$1,070.62
08264	Stricture of urethra - office dilation	0	$19.77
08267	Stricture of urethra - second stage plastic repair	3	$1,019.64
08259	Stricture urethra-1st stage plastic w pedicle grft	3	$1,019.64
08278	Suprapubic cystostomy & primary repair of urethra	3	$406.22
81154	Transection or removal of sub-urethral mesh sling	4	$560.47
08272	Urethra fistula (penile excision)	2	$400.89
08268	Urethral diverticulectomy, male or female	2	$557.02
08269	Urethral valves-tur,posterior	2	$353.92
08263	Urethrectomy, total	3	$353.96
08261	Urethrostomy	2	$301.70
08260	Urethrotomy, external or internal	2	$204.95
Urinary Diversion and Cystectomy
08181	Bladder augmentation with bowel segment	5	$1,213.49
08182	Continent urinary diversion	6	$1,481.31
08177	Cystectomy and ileal loop diversion (includes preparation of intestinal segment and ureteral transplantation - same surgeon)	6	$1,985.38
08183	Cystectomy- radical & continent urinary diversion	7	$2,945.74
08184	Cystectomy-isolated procedure w or wo urethrectomy	6	$1,212.48
08185	Cystectomy-isolated procedure w or wo urethrectomy	6	$900.00
08174	Prep of intest. seg. reanastomosis & ureteral transplantation	6	$1,061.94
08170	Preparation of intestinal segment and re-anastomos	5	$515.76
08178	Radical cystectomy & ileal loop urinary diversion	7	$2,695.99
08173	Radical cystectomy with pelvic lymphadenectomy	7	$1,906.51
08207	Ruptured bladder repair	5	$713.74

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