Abstract
In 2010, the Centers for Medicare and Medicaid Services (CMS) simplified the coding of urodynamics by eliminating several Current Procedural Terminology (CPT) codes. One effect of this was a decrease in the reimbursement for urodynamics to physicians. In addition, CMS has also placed more emphasis on pairing the urodynamic CPT codes with an appropriate International Classification of Diseases-9th Revision Clinical Modification (ICD-9-CM) code. If coded correctly, urodynamic evaluation can still be reimbursed fairly. This chapter attempts to explain the reimbursement for urodynamics, basic coding terminology and provides a step-by-step explanation of how urodynamics should be properly coded.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Hu T-W, Wagner TH, Bentkover JD, et al. Estimated economic costs of overactive bladder in the United States. Urology. 2003;61:1123–8.
Ingenix National Fee Analyzer 2011, Charge data for evaluating fees nationally. 2011. Eden Prairie MN. Ingenix. Cited by Smith AL, Wein AJ. Predicting the future of urodynamics. Transl Androl Urol. 2012;1(2):76–7. doi: 10.3978/j.issn.22234683.2012.06.01
Pickett D. International classification of diseases. 10th ed. Clinical modification ICD-10-CM. www.cdc.gov. http://www.cdc.gov/nchs/icd/icd10cm.htm. Accessed 14 Nov 2013.
Blum J, editor. Letter from director of center for medicare. http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SustainableGRatesConFact/Downloads/SGR2013-Final-Signed.pdf. Accessed 21 Aug 2013.
Ingenix. Coding companion for urology/nephrology. Optum Insight; 2012.
IngenixOptumInsight. Current procedural coding expert 2012. OptumInsight Incorporated; 2011.
Urodynamics procedures. Cooper surgical. http://www.coopersurgical.com/Documents/Urodynamic%20Reimbursement%202011.pdf. Accessed 12 Aug 2013.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer Science+Business Media New York
About this chapter
Cite this chapter
Osborn, D.J., Gartin, D.L., Reynolds, W.S., Dmochowski, R.R. (2015). Physician Coding and Reimbursement for Urodynamics. In: Rovner, E., Koski, M. (eds) Rapid and Practical Interpretation of Urodynamics. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1764-8_4
Download citation
DOI: https://doi.org/10.1007/978-1-4939-1764-8_4
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4939-1763-1
Online ISBN: 978-1-4939-1764-8
eBook Packages: MedicineMedicine (R0)