THE CODING EDGE® ARCHIVES

Table of Contents

Procedure Practice 06/15/00 - Feature Article 06/15/00
   

Procedure Practice 06/15/00:
Coding Recommendations

  

Listed below are the ICD-9-CM codes that we think apply to the case summaries listed on our Procedure Practice page. If you disagree with our suggestions or have other comments, please send an e-mail to codingedge@lagunamedsys.com.
   

Suggested Codes and Rationale
  

Report # 1

The patient had a stricture of the urethral meatus. Assign 598.9, Urethral stricture, unspecified, to correctly code this diagnosis.

The surgeon performed a urethral meatotomy and an exploratory cystoscopy. According to the operative report, the meatotomy was not performed as part of the cystoscopy, but was a separate procedure. Assign ICD-9-CM codes 58.1, Urethral meatotomy, and 57.32, Other cystoscopy, for this procedure. Two CPT codes are also needed. Assign 53020, Meatotomy, cutting of meatus (separate procedure), except infant, and 52000-59, Cystourethroscopy (separate procedure), for this case. Modifier -59 is appropriately appended to 52000 to indicate that a distinct procedural service was performed as a separate component of the meatotomy procedure.
 

Report # 2

The patient had stress urinary incontinence secondary to intrinsic sphincter deficiency. Assign 599.82, Intrinsic (urethral) sphincter deficiency (ISD). Code the incontinence 625.6, Stress incontinence, female.

The patient underwent a laparoscopic retropubic bladder neck suspension. The correct ICD-9-CM code for this procedure is 59.5, Retropubic urethral suspension. The correct CPT procedure code is 51990, Laparoscopy, surgical; urethral suspension for stress incontinence.

  

Procedure Practice 06/15/00 - Feature Article 06/15/00
 

Bibliography - References:
CPT 2000, American Medical Association, Chicago, IL
CPT Companion, American Medical Association, Chicago, IL
Coding Clinic for ICD-9-CM, American Hospital Association, Chicago, IL
St. Anthony's Illustrated ICD-9-CM Code Book, St. Anthony Publishing, Reston, VA		 Notice: This part of our web site was prepared to assist in understanding and maintaining good coding skills. For proper use of this feature, reference must be made to official coding guidelines when necessary. The information here presented is only to be used as a supplement to those guidelines. Laguna Medical Systems, Inc., makes no representations or guarantees as to amounts that will be paid by Medicare or other third party payers.

 

Please be aware that the Coding Edge® Archive pages are NOT retroactively updated
to reflect possible coding rules and regulation changes made after the publishing date.