August 2, 2024

Mark, Scott, and Dr. Ray Painter discuss FAQs that came into the PRS communities.

1. Can you bill a voiding trial after a patient had a procedure that has 0 day global (UROLIFT).
2. Hi, a question on IPP coding pls. How do you we code for "2-piece Ambicore IPP placement"?
   With this new Ambicore IPP, the penile prosthesis consists of only One pair of Cylinders and a Pump and eliminates the need for a separate Reservoir. Are we coding with 54405-52? VS no modifier 52? Thank you!
   
   
3. EmanoFlow
   Hello all,
   I see there is a podcast on this topic from April 2022. I was hoping there may be some updates on coding and/or information.
   One of our doctors has started using EmanoFlow. There is no device for this app. We realize there can only be one billed per calendar date with 51741-26
   If the doctor reads the uroflows as they are done and creates encounters with documentation of his review, for each day the patient completes the uroflow, is it correct to assume that the doctor can bill for each one?
   Also does anyone have experience on what the financial responsibility is to patients? The rep was very vague on patient responsibility. I'm assuming (never the best idea) that it is just based on the clinics fee schedule for uroflows with a 26 on them.
4. Hi,
   I have a question regarding coding for psoas-hitch with laparoscopic approach. Should these be coded with unlisted 50949 and bench marked to 50785 or does 50948 include the psoas-hitch?

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