Coding, Classification and Reimbursement

urolift and a foley for post op pain

  • 1.  urolift and a foley for post op pain

    Posted 19 days ago
    ​Hello, a coworker of mine has a question regarding insertion of a foley for post op pain due to a urolift. Our coding system is telling her she can't code the pair even with a modifier. Any thoughts would be appreciated. here is her certain, "But my question is pt had the urolift placed earlier in the day, they left. Then later on in the evening they were having post op pain and retention. They came back in and had a foley placed b/c of retention."

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    Brandy Giovanni
    Coding Specialist
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  • 2.  RE: urolift and a foley for post op pain

    Posted 15 days ago
    Hi Brandy -
    Based on what is written in your question, the Foley is not being placed for post-op pain but rather due to urinary retention. Since the patient left and came back in with a problem, this is not part of the normal post-op surgical period and would be coded/reported separately.  Hope this helps. ​

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    Lynn A. Wall, MBA, RHIT, CCS
    AHIMA Approved ICD-10-CM/PCS Trainer
    Interim Coding Supervisor
    Maricopa Integrated Health System
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  • 3.  RE: urolift and a foley for post op pain

    Posted 15 days ago
    ​Hi Brandy,

    I reviewed the codes and yes code 51702 is not allowed with any type of Modifier.  There are cases where this happens and your organization needs to come up with  a process to handle these.

    Possible solutions:
    code it on the chart but remove it from the claim - roll up any charges for it to the urolift procedure

    if the procedure was hard coded - keep on the account and have billing select the do not print  for the claim

    Hope this helps,

    Lisa



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    Lisa Withers
    Coding Qi Compliance Auditor and Trainer
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