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PRACTICE RESOURCES > Coding and Reimbursement > Coding Tips > Coding Basics > How Codes Work Together

How Codes Work Together

To report the patient's condition, the services rendered and supplies for claims processing, codes from all three coding systems must be used: CPT, HCPCS and ICD-10-CM.

For example, to code for chemodenervation of the bladder with injection of Botox®a collagen skin test and implant for overactive bladder (CPT, HCPCS and ICD-10-CM) when performed in the physician's office, CPT states that the supply of the chemodenervation agent is reported separately from the procedure.

On the day of the procedure, the physician's service along with the cost of the implant would be billed:

CPT®
52287
Cystourethroscopy, with injection(s) for chemodenervation of the bladder
HCPCS J0585 Injection, onabotulinumtoxinaA, 1 unit.  (This code would be billed based on the number of units injected into the bladder.)

In addition, ICD-10 diagnostic codes are available to support medical necessity for the performance of this procedure:

G83.4 Cauda equina syndrome
N31.0 Uninhibited neuropathic bladder, not elsewhere classified
N31.8 Other neuromuscular dysfunction of bladder
N31.9 Neuromuscular dysfunction of bladder, unspecified
N32.81 Overactive bladder
N39.41 Urge incontinence
N39.498 Other specified urinary incontinence
R35.0 Frequency of micturition
R39.15 Urgency of urination

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