Medical Billing Forum
General Category => New! => : Dianac August 29, 2012, 07:20:12 PM
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Hi. This is the first time I have asked a question here, but this one has me puzzled and I have about 1 week before this claim is a year old.
Our patient had a TURP (52601) done 8/6/10 dx 185 and another on 9/9/11 same code and dx. Medicare continually denies this 2nd TURP saying the patient is responsible. I have tried modifiers 78 and 58 as well without success. Any ideas? Medicare will not give hints.
Thanks.
Diana.
p.s. thanks..sometimes simple is complicated
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From what I see, 52601 is a once in a lifetime procedure and you will need to use a different code. http://codingnews.inhealthcare.com/specialty-coding/urology-coding-turp-urodynamics-and-stone-removal/
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Thank You!! I believe this is what I needed.