MSP Billing Codes

Specialty: Urology

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Code Description Fee

Bladder

08200 Bladder fulguration with cystoscopy $158.13
08255 Closure of fistula - suprapubic, vesico-vaginal, vesico-rectal, or vesico-sigmoid $713.74
08204 Cystectomy - partial for tumor or diverticulum $711.34
08205 Cystectomy - partial for tumor or diverticulum $285.00
08203 Cystolithotomy $315.89
08202 Cystostomy by trochar-isolated procedure $101.96
08201 Cystostomy-isolated procedure $220.24
08254 Litholapaxy and removal of fragments $280.41
08257 Transurethral removal of foreign body (excluding ureteric stents) $252.75
08251 Transurethral resection bladder neck,female $301.30

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08250 Transurethral resection bladder, urethral tumor & adjacent muscle & electrocoagulation, as nescessary $321.78
08256 Transurethral resection external urinary sphincter $303.07
08253 Y-v vesical neck plasty $643.81

Consultations / Visits

00410 Consultation, neurology $182.41
00406 Directive care, neurology $90.08
00405 Emergency visit - neurology $94.16
00441 Face to face acvs consultation - neurology $215.58
00442 Face to face f/u neurological clin (without tpa) $100.19
00443 Face to face f/u neurological clinical (with tpa) $100.19
00444 Face to face follow up acvs relapse intervention $80.14
00457 Neurology complex care - ext visit - per 15 min $36.88
00450 Neurology complex care-extend consult - per 15 min $58.10
00460 Neurology ext consult - transfer of care from peds $388.18
00411 Repeat or limited consultation, neurology $87.21
00409 Subsequent home visit, neurology $41.02
00408 Subsequent hospital visit, neurology $83.57
00407 Subsequent office visit, neurology $88.11
00470 Telehealth consultation, neurology $182.41
00476 Telehealth directive care, neurology $90.08
00471 Telehealth repeat / limited consultation neurology $87.21
00478 Telehealth subsequent hospital visit, neurology $83.57
00477 Telehealth subsequent office visit, neruology $88.11

Diagnostic Procedures

00866 Dynamic cavernosometry and avernosography $79.05

Diagnostic Ultrasound

08399 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

Doppler Ultrasound

00468 Neurlolgy outpatient transcranial doppler ultra sound $118.86
00469 Neurology outpat trans doppler ultra sound $29.71

Electrodiagnosis

00905 Daily measurements of nerve conduction thresholds in facial palsy $6.35
00906 Daily measurements of nerve conduction thresholds in facial palsy - maximum per course $44.15
00927 Decamethonium test - for attendance at, and follow-up observation if necessary $34.34
00900 Electrodiagnosis, extensive examination (sched. a) $121.85
00901 Electrodiagnosis, limited examination (sched. b) $81.49
00902 Electrodiagnosis, short examination (sched c) $40.61
00922 Electrodiagnostic component of the decamethoniumedrophonium test for myasthenia gravis, inclusive of tetanic stimulation tests $57.26
00914 Insertion of sphenoidal electrodes, , temporal lobe epilepsy, e.e.g.: recording $43.61
00915 Intra-carotid injection of sodium amytal, speech localization test $98.01
00926 Seizure activation with intravenous activating agents associated with insertion of sphenoidal and/or orbital electrodes $147.86
00923 Technical fee for electrodiagnostic testing $20.39

Endo-Urology

08168 Nephroscopy & stone removal-includes lithopaxy $618.92
08155 Ureteral stent-internal-insertion,includes c&p & $128.46
08146 Ureteroscopy basket manipulation ureteral calculus $513.90

Epididymis

08347 Avulsion penile skin and scrotum - repair $405.11
08342 Epididymectomy - unilateral $279.07
08340 Epididymis-abscess,incision,complete care $195.36
08343 Epididymovasostomy or re-anastomosis of vas,unilateral $778.03
08353 Plastic repair of exotrophy & of bladder with skin $1,329.95
08341 Spermatocele or hydrocele - excision $252.90
08350 Urethro-vesical neck plasty for congenital incontinence $1,032.76
08346 Varicocele resection $392.06
08344 Vas cannulation, unilateral or bilateral $126.41
08345 Vasectomy, bilateral $101.51

Kidney and Perinephrium

08123 Extra-corporeal shock wave lithotripsy (eswl) $222.55
81110 Laparoscopic nephrourecterectomy $1,879.95
81104 Laparoscopic partial nephrectomy $1,950.06
81114 Laparoscopic pyeloplasty, with or without insertion of ureteral stent, includes management of aberrant vessels and nephropexy, cystoscopy or retrograde pyelogram $1,352.04
81105 Laparoscopic radical nephrectomy $1,529.46
08105 Nephrectomy $1,248.95
08106 Nephrectomy - ectopic kidney $875.87
08104 Nephrectomy - partial $1,350.91
08109 Nephrectomy - radical with gland dissection $1,274.43
08108 Nephrectomy - thoraco-abdominal $1,325.42
08110 Nephro-ureterectomy to include bladder cuff $1,503.98
08117 Nephrolithotomy and/or pyelolithotomy $778.42
08119 Nephrolithotomy or pyelolithotomy w renal cooling with or without x-ray control with or without nephroscopy $739.23
08118 Nephrolithotomy or pyelolithotomy w x-ray control with or without nephroscopy $843.15
08112 Open renal biopsy (as an independent procedure) $316.22
08100 Perinephric abscess - drainage $484.34
08114 Pyeloplasty includes nephropexy & mgmt of aberrant vessels & nephropexy $866.47
08116 Ruptured or lacerated kidney-repair or removal $1,264.25
08113 Symphysiotomy and nephropexy or nephrectomy in horseshoe kidney $434.81

Miscellaneous

00424 Botulinum toxin injections $118.82
00480 Dmt (disease modifying treatment) management $152.77
81194 First surgical assist of the day-urology $76.47
00462 Neurological interpretation and written report of submitted x-ray films (including ct scan, tcd, mri) per case $52.48

Penis

08312 Circumcision-excludes clamp or bell technique $204.77
08306 Clitoral recession $252.82
08297 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
08301 Dorsal slit, isolated procedure $101.69
08309 Femoral and inguinal glands,excision-bilateral $1,325.53
08308 Femoral and inguinal glands,excision-unilateral $917.67
08296 Insertion of semi rigid or self contained inflatable prosthesis following traumatic or surgical injury $611.78
08307 Peyronies plaque, excision-with replacement graft $796.60
08300 Priapism: sapheno-cavernous shunt $569.16
08299 Radical amputation of penis $606.84
08363 Revision of penile prosthesis (includes removal, correction of any mechanical failure, and replacement) $862.64
08305 Simple amputation of penis $462.03

Prostate

08317 Anti-incontinence procedure (artificial spincter) $771.28
08319 Balloon dilation of prostate-includes cystoscopy $227.26
81311 Holmium laser enucleation of prostate (holep) $948.67
81305 Laparoscopic radical prostatectomy $2,080.06
81310 Laparoscopic radical prostatectomy with plnd $2,396.16
08311 Prostatectomy- perineal, suprapubic, retropubic and transurethral approaches $474.92
08314 Prostatectomy- radical perineal retropubic prostate seminal vesiculectomy $1,380.84
08318 Prostatectomy, radical, to include lymphadenectomy $1,410.23

Referred Cases

08012 Consultation, repeat or limited, urology $54.44
08010 Consultation, urology $89.01
00488 Detailed cognitive assessment $50.92
00491 Detailed cognitive assessment $65.50
00492 Detailed cognitive assessment $65.50
00487 Detailed cognitive assessment by behavioral neurol $50.92
08005 Emergency visit - urology $122.90
00485 Face to face assessment for ms-1st full half hour $201.37
00486 Face to face assessment for ms-each add'l 1/2 hour $100.19
08070 Telehealth consultation - urology $89.01
08072 Telehealth repeat or limited consultation/urology $54.44
08078 Telehealth subsequent hospital visit - urology $42.86
08077 Telehealth subsequent office visit - urology $38.98
08009 Visit, home, urology $59.66
08008 Visit, hospital, urology $42.86
08007 Visit, office, urology $38.98

Special Examinations

00418 Activating agent by electro encephalographic $22.50
00419 Electroclinical detailed interpretation of seizure $405.04
00417 Electrocorticography $229.48
00421 Electrocorticography in awake craniotomy $494.52
00426 Electroencephalogram - sleep only $157.85
00427 Electroencephalogram - sleep only - interpretation $42.56
00428 Electroencephalogram - sleep only - technical fee $115.31
00440 Electroencephalogram - sleep only - technical fee $119.95
00413 Electroencephalogram - technical fee $78.63
00415 Electroencephalogram and interpretation $127.80
00416 Electroencephalogram interpretation neurologist $49.18
40444 Follow up telestroke acvs relapse intervention $80.14
40442 Follow up telestroke neurological clinical $100.19
40443 Follow up telestroke neurological clinical monitor $100.19
00420 Short study of electroclinical interp. of seizures $208.56
40441 Telestroke consultation $215.58

Testis

08323 Exploration scrotal contents - unilateral $243.25
08324 Explore undescended testicle, without orchidopexy $262.17
08354 Lymphadenectomy-retroperitoneal, post chemotherapy $2,319.68
08330 Orchidectomy - inguinal approach $341.58
08329 Orchidectomy - simple $242.52
08322 Orchidopexy - one or two stages $389.50
08325 Reduction of torsion of testis and spermatic cord repair - bilateral $407.86
08349 Retroperitoneal lymphadenectomy for ca of testis $2,039.27
08326 Testicle - ruptured -repair $406.85
08328 Testis - recurrent undescended $509.23
08327 Testis-biopsy $151.50

Ureter

08145 Subureteric endoscopic injection for (vur) $257.87
08161 Transurethral manipulation of ureteral calculus with recovery of calculus $217.40
08160 Ureter reconstruction lower segmnt by bladder flap $917.67
08154 Ureteral tailoring-bilateral,extra to 08148 $328.66
08153 Ureteral tailoring-unilateral,extra to 08152,08148 $232.58
08157 Uretero-cutaneous-anastomosis, unilateral $668.09
08158 Uretero-sigmoid anastomosis, bilateral $632.05
08156 Uretero-ureterostomy $662.77
08163 Uretero-vesical anastomosis if ureterocele or ureteral duplication $783.72
08159 Ureterolysis $600.61
08151 Ureterotomy or removal of stump $755.87
08147 Ureterotomy,ureteral lithotomy,upper & lower $409.61
08148 Uretro-vesical reanastomosis - bilateral $1,011.34
08152 Uretro-vesical reanastomosis - unilateral $866.47

Urethra

81159 Buccal muscosa graft harvest, extra $229.42
08271 Catheterization complex-male patient(op only) $203.93
08282 Excision prolapse-urethra or caruncle -includes cystoscopy $243.07
08274 Hypospadias-1st stage chordee,excludes urethrostom $424.14
08277 Hypospadias-epispadias plastic repair,excludes ure $657.31
08276 Hypospadias-penoscrotal,excludes urethrostomy $1,011.46
08275 Hypospadias-second stage (penile) excludes urethro $490.35
81153 Male suburethral sling, including cystoscopy $713.74
08262 Meatotomy and plastic repair $136.37
08232 Periurethral collagen injections $237.30
08283 Retropubic or transvaginal tape (tvt) or transobturator tape (tot) operation for urinary incontinence $332.03
08265 Stricture of urethra - dilation in hospital, isolated procedure, w or wo anesthesiology $49.38
08266 Stricture of urethra - first stage plastic repair $1,070.62
08264 Stricture of urethra - office dilation $19.77
08267 Stricture of urethra - second stage plastic repair $1,019.64
08259 Stricture urethra-1st stage plastic w pedicle grft $1,019.64
08278 Suprapubic cystostomy & primary repair of urethra $406.22
81154 Transection or removal of sub-urethral mesh sling $560.47
08272 Urethra fistula (penile excision) $400.89
08268 Urethral diverticulectomy, male or female $557.02
08269 Urethral valves-tur,posterior $353.92
08263 Urethrectomy, total $353.96
08261 Urethrostomy $301.70
08260 Urethrotomy, external or internal $204.95

Urinary Diversion and Cystectomy

08181 Bladder augmentation with bowel segment $1,213.49
08182 Continent urinary diversion $1,481.31
08177 Cystectomy and ileal loop diversion (includes preparation of intestinal segment and ureteral transplantation - same surgeon) $1,985.38
08183 Cystectomy- radical & continent urinary diversion $2,945.74
08184 Cystectomy-isolated procedure w or wo urethrectomy $1,212.48
08185 Cystectomy-isolated procedure w or wo urethrectomy $900.00
08174 Prep of intest. seg. reanastomosis & ureteral transplantation $1,061.94
08170 Preparation of intestinal segment and re-anastomos $515.76
08178 Radical cystectomy & ileal loop urinary diversion $2,695.99
08173 Radical cystectomy with pelvic lymphadenectomy $1,906.51
08207 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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