MSP Billing Codes

Specialty: Urology

Code Description Fee
405 Emergency visit - neurology $94.16
406 Directive care, neurology $90.08
407 Subsequent office visit, neurology $88.11
408 Subsequent hospital visit, neurology $83.57
409 Subsequent home visit, neurology $41.02
410 Consultation, neurology $182.41
411 Repeat or limited consultation, neurology $87.21
441 Face to face acvs consultation - neurology $215.58
442 Face to face f/u neurological clin (without tpa) $100.19
443 Face to face f/u neurological clinical (with tpa) $100.19

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444 Face to face follow up acvs relapse intervention $80.14
450 Neurology complex care-extend consult - per 15 min $58.10
457 Neurology complex care - ext visit - per 15 min $36.88
460 Neurology ext consult - transfer of care from peds $388.18
470 Telehealth consultation, neurology $182.41
471 Telehealth repeat / limited consultation neurology $87.21
476 Telehealth directive care, neurology $90.08
477 Telehealth subsequent office visit, neruology $88.11
478 Telehealth subsequent hospital visit, neurology $83.57
468 Neurlolgy outpatient transcranial doppler ultra sound $118.86
469 Neurology outpat trans doppler ultra sound $29.71
900 Electrodiagnosis, extensive examination (sched. a) $121.85
901 Electrodiagnosis, limited examination (sched. b) $81.49
902 Electrodiagnosis, short examination (sched c) $40.61
905 Daily measurements of nerve conduction thresholds in facial palsy $6.35
906 Daily measurements of nerve conduction thresholds in facial palsy - maximum per course $44.15
914 Insertion of sphenoidal electrodes, , temporal lobe epilepsy, e.e.g.: recording $43.61
915 Intra-carotid injection of sodium amytal, speech localization test $98.01
922 Electrodiagnostic component of the decamethoniumedrophonium test for myasthenia gravis, inclusive of tetanic stimulation tests $57.26
923 Technical fee for electrodiagnostic testing $20.39
926 Seizure activation with intravenous activating agents associated with insertion of sphenoidal and/or orbital electrodes $147.86
927 Decamethonium test - for attendance at, and follow-up observation if necessary $34.34
424 Botulinum toxin injections $118.82
462 Neurological interpretation and written report of submitted x-ray films (including ct scan, tcd, mri) per case $52.48
480 Dmt (disease modifying treatment) management $152.77
485 Face to face assessment for ms-1st full half hour $201.37
486 Face to face assessment for ms-each add'l 1/2 hour $100.19
487 Detailed cognitive assessment by behavioral neurol $50.92
488 Detailed cognitive assessment $50.92
491 Detailed cognitive assessment $65.50
492 Detailed cognitive assessment $65.50
413 Electroencephalogram - technical fee $78.63
415 Electroencephalogram and interpretation $127.80
416 Electroencephalogram interpretation neurologist $49.18
417 Electrocorticography $229.48
418 Activating agent by electro encephalographic $22.50
419 Electroclinical detailed interpretation of seizure $405.04
420 Short study of electroclinical interp. of seizures $208.56
421 Electrocorticography in awake craniotomy $494.52
426 Electroencephalogram - sleep only $157.85
427 Electroencephalogram - sleep only - interpretation $42.56
428 Electroencephalogram - sleep only - technical fee $115.31
440 Electroencephalogram - sleep only - technical fee $119.95
40441 Telestroke consultation $215.58
40442 Follow up telestroke neurological clinical $100.19
40443 Follow up telestroke neurological clinical monitor $100.19
40444 Follow up telestroke acvs relapse intervention $80.14
8200 Bladder fulguration with cystoscopy $158.13
8201 Cystostomy-isolated procedure $220.24
8202 Cystostomy by trochar-isolated procedure $101.96
8203 Cystolithotomy $315.89
8204 Cystectomy - partial for tumor or diverticulum $711.34
8205 Cystectomy - partial for tumor or diverticulum $285.00
8250 Transurethral resection bladder, urethral tumor & adjacent muscle & electrocoagulation, as nescessary $321.78
8251 Transurethral resection bladder neck,female $301.30
8253 Y-v vesical neck plasty $643.81
8254 Litholapaxy and removal of fragments $280.41
8255 Closure of fistula - suprapubic, vesico-vaginal, vesico-rectal, or vesico-sigmoid $713.74
8256 Transurethral resection external urinary sphincter $303.07
8257 Transurethral removal of foreign body (excluding ureteric stents) $252.75
866 Dynamic cavernosometry and avernosography $79.05
8399 Doppler evaluation of penile blood flow wave from evaluation of dorsal and cavernosal arteries. blood pressure recordings and calculation of penile brachial index $47.43
8146 Ureteroscopy basket manipulation ureteral calculus $513.90
8155 Ureteral stent-internal-insertion,includes c&p & $128.46
8168 Nephroscopy & stone removal-includes lithopaxy $618.92
8340 Epididymis-abscess,incision,complete care $195.36
8341 Spermatocele or hydrocele - excision $252.90
8342 Epididymectomy - unilateral $279.07
8343 Epididymovasostomy or re-anastomosis of vas,unilateral $778.03
8344 Vas cannulation, unilateral or bilateral $126.41
8345 Vasectomy, bilateral $101.51
8346 Varicocele resection $392.06
8347 Avulsion penile skin and scrotum - repair $405.11
8350 Urethro-vesical neck plasty for congenital incontinence $1,032.76
8353 Plastic repair of exotrophy & of bladder with skin $1,329.95
8100 Perinephric abscess - drainage $484.34
8104 Nephrectomy - partial $1,350.91
8105 Nephrectomy $1,248.95
8106 Nephrectomy - ectopic kidney $875.87
8108 Nephrectomy - thoraco-abdominal $1,325.42
8109 Nephrectomy - radical with gland dissection $1,274.43
8110 Nephro-ureterectomy to include bladder cuff $1,503.98
8112 Open renal biopsy (as an independent procedure) $316.22
8113 Symphysiotomy and nephropexy or nephrectomy in horseshoe kidney $434.81
8114 Pyeloplasty includes nephropexy & mgmt of aberrant vessels & nephropexy $866.47
8116 Ruptured or lacerated kidney-repair or removal $1,264.25
8117 Nephrolithotomy and/or pyelolithotomy $778.42
8118 Nephrolithotomy or pyelolithotomy w x-ray control with or without nephroscopy $843.15
8119 Nephrolithotomy or pyelolithotomy w renal cooling with or without x-ray control with or without nephroscopy $739.23
8123 Extra-corporeal shock wave lithotripsy (eswl) $222.55
81104 Laparoscopic partial nephrectomy $1,950.06
81105 Laparoscopic radical nephrectomy $1,529.46
81110 Laparoscopic nephrourecterectomy $1,879.95
81114 Laparoscopic pyeloplasty, with or without insertion of ureteral stent, includes management of aberrant vessels and nephropexy, cystoscopy or retrograde pyelogram $1,352.04
8296 Insertion of semi rigid or self contained inflatable prosthesis following traumatic or surgical injury $611.78
8297 Deep dissection of intercrural region, with ligation of deep dorsal and cavernosal veins with or without ligation of crural veins (venous ligation for impotence) $404.57
8299 Radical amputation of penis $606.84
8300 Priapism: sapheno-cavernous shunt $569.16
8301 Dorsal slit, isolated procedure $101.69
8305 Simple amputation of penis $462.03
8306 Clitoral recession $252.82
8307 Peyronies plaque, excision-with replacement graft $796.60
8308 Femoral and inguinal glands,excision-unilateral $917.67
8309 Femoral and inguinal glands,excision-bilateral $1,325.53
8312 Circumcision-excludes clamp or bell technique $204.77
8363 Revision of penile prosthesis (includes removal, correction of any mechanical failure, and replacement) $862.64
8311 Prostatectomy- perineal, suprapubic, retropubic and transurethral approaches $474.92
8314 Prostatectomy- radical perineal retropubic prostate seminal vesiculectomy $1,380.84
8317 Anti-incontinence procedure (artificial spincter) $771.28
8318 Prostatectomy, radical, to include lymphadenectomy $1,410.23
8319 Balloon dilation of prostate-includes cystoscopy $227.26
81305 Laparoscopic radical prostatectomy $2,080.06
81310 Laparoscopic radical prostatectomy with plnd $2,396.16
81311 Holmium laser enucleation of prostate (holep) $948.67
8005 Emergency visit - urology $122.90
8007 Visit, office, urology $38.98
8008 Visit, hospital, urology $42.86
8009 Visit, home, urology $59.66
8010 Consultation, urology $89.01
8012 Consultation, repeat or limited, urology $54.44
8070 Telehealth consultation - urology $89.01
8072 Telehealth repeat or limited consultation/urology $54.44
8077 Telehealth subsequent office visit - urology $38.98
8078 Telehealth subsequent hospital visit - urology $42.86
81194 First surgical assist of the day-urology $76.47
8322 Orchidopexy - one or two stages $389.50
8323 Exploration scrotal contents - unilateral $243.25
8324 Explore undescended testicle, without orchidopexy $262.17
8325 Reduction of torsion of testis and spermatic cord repair - bilateral $407.86
8326 Testicle - ruptured -repair $406.85
8327 Testis-biopsy $151.50
8328 Testis - recurrent undescended $509.23
8329 Orchidectomy - simple $242.52
8330 Orchidectomy - inguinal approach $341.58
8349 Retroperitoneal lymphadenectomy for ca of testis $2,039.27
8354 Lymphadenectomy-retroperitoneal, post chemotherapy $2,319.68
8145 Subureteric endoscopic injection for (vur) $257.87
8147 Ureterotomy,ureteral lithotomy,upper & lower $409.61
8148 Uretro-vesical reanastomosis - bilateral $1,011.34
8151 Ureterotomy or removal of stump $755.87
8152 Uretro-vesical reanastomosis - unilateral $866.47
8153 Ureteral tailoring-unilateral,extra to 08152,08148 $232.58
8154 Ureteral tailoring-bilateral,extra to 08148 $328.66
8156 Uretero-ureterostomy $662.77
8157 Uretero-cutaneous-anastomosis, unilateral $668.09
8158 Uretero-sigmoid anastomosis, bilateral $632.05
8159 Ureterolysis $600.61
8160 Ureter reconstruction lower segmnt by bladder flap $917.67
8161 Transurethral manipulation of ureteral calculus with recovery of calculus $217.40
8163 Uretero-vesical anastomosis if ureterocele or ureteral duplication $783.72
8232 Periurethral collagen injections $237.30
8259 Stricture urethra-1st stage plastic w pedicle grft $1,019.64
8260 Urethrotomy, external or internal $204.95
8261 Urethrostomy $301.70
8262 Meatotomy and plastic repair $136.37
8263 Urethrectomy, total $353.96
8264 Stricture of urethra - office dilation $19.77
8265 Stricture of urethra - dilation in hospital, isolated procedure, w or wo anesthesiology $49.38
8266 Stricture of urethra - first stage plastic repair $1,070.62
8267 Stricture of urethra - second stage plastic repair $1,019.64
8268 Urethral diverticulectomy, male or female $557.02
8269 Urethral valves-tur,posterior $353.92
8271 Catheterization complex-male patient(op only) $203.93
8272 Urethra fistula (penile excision) $400.89
8274 Hypospadias-1st stage chordee,excludes urethrostom $424.14
8275 Hypospadias-second stage (penile) excludes urethro $490.35
8276 Hypospadias-penoscrotal,excludes urethrostomy $1,011.46
8277 Hypospadias-epispadias plastic repair,excludes ure $657.31
8278 Suprapubic cystostomy & primary repair of urethra $406.22
8282 Excision prolapse-urethra or caruncle -includes cystoscopy $243.07
8283 Retropubic or transvaginal tape (tvt) or transobturator tape (tot) operation for urinary incontinence $332.03
81153 Male suburethral sling, including cystoscopy $713.74
81154 Transection or removal of sub-urethral mesh sling $560.47
81159 Buccal muscosa graft harvest, extra $229.42
8170 Preparation of intestinal segment and re-anastomos $515.76
8173 Radical cystectomy with pelvic lymphadenectomy $1,906.51
8174 Prep of intest. seg. reanastomosis & ureteral transplantation $1,061.94
8177 Cystectomy and ileal loop diversion (includes preparation of intestinal segment and ureteral transplantation - same surgeon) $1,985.38
8178 Radical cystectomy & ileal loop urinary diversion $2,695.99
8181 Bladder augmentation with bowel segment $1,213.49
8182 Continent urinary diversion $1,481.31
8183 Cystectomy- radical & continent urinary diversion $2,945.74
8184 Cystectomy-isolated procedure w or wo urethrectomy $1,212.48
8185 Cystectomy-isolated procedure w or wo urethrectomy $900.00
8207 Ruptured bladder repair $713.74

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.

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