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AUA Health Policy Brief: November 6, 2012  

Coding Corner: CPT Code Changes Affecting Urology in 2013

Current Procedural Terminology (CPT®) has been revised to standardize coding placement under more appropriate headings in an effort to better categorize CPT® procedures. New or revised CPT® codes are listed below.

Revised

All evaluation and management codes have been revised with the following descriptor:

Counseling and/or coordination of care with other physicians, other qualified health care professional, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs.

Usually, the presenting problem(s) are self-limited or minor. Typically 10 minutes are spent face-to-face with the patient and/or family.

New

Beginning with services provided on or after January 1, 2013, it will no longer be necessary to appeal the unlisted code 53899 when billing for Botox treatment of incontinence. The AUA has succeeded in getting a new code for Botox.

52287 – Cystourethroscopy, with injection(s) for chemodenervation of the bladder

               (The supply of the chemodenervation agent is reported separately)

The HCPCS Code J0585will be the code to report the supply of the chemodenervation agent separately.