Event Materials (Key Required)
The CPT code set for 2024 has recently been released. The modifications to CPT codes will become effective on January 1, 2024, across all payers. This webinar will provide an education on selecting CPT codes and understanding bundling matrix on procedure that are commonly submitted together. In addition, 2024 comes with CPT changes, revisions, and new codes to Urology. Each CPT® code includes its official description and lay description, coding tip, Medicare edits, and relative value units and is cross-coded to common ICD-10-CM diagnosis codes to complete the coding process. Practices will be able to utilize these new codes and educate staff members with the new changes.
Learning Objectives:
- Describe coding information to use in everyday practice
- Understand proper coding to avoid denials
- Review 2024 CPT changes to Urology
- Identify bundling matrix and guidelines
- Stay updated with the latest coding updates and guidelines specific to urology
- Understand the documentation requirements to support proper coding and billing for Urology
- Maximize reimbursement by ensuring compliance with coding regulations
Areas Covered in the Session:
- 2024 Updates
- Category I Codes
- Category III Codes
- Revised Category I Codes – 64590 and 64595
- Revised Category I CPT Codes
- Insertion / Replacement (64590)
- Revision / Removal (64595)
- Interstim Procedure
- New Category I Code: Female Pelvic Exam
- Female Pelvic Exam -99459
- New Category I: Cystourethroscopy with Urethral Balloon Dilation and Therapeutic Drug Delivery (Replaces 0499T)
- Cystourethroscopy with Urethral Therapeutic Drug Delivery (CPT code 52284)
- New Codes
- New Category I Code 52284
- 52284 is for Urethra, Not Prostate
- Category III-Tibial Neurostimulator Services
- Neurostimulator Procedures
- Urology Neurostimulation Procedures
- New Category III Codes: Open Tibial Nerve Neurostimulator Procedures
- Existing Category III Codes: Percutaneous Integrated Tibial Nerve Neurostimulator Procedures
- Existing Category III Codes: Analysis and Programming of Open or Percutaneous Tibial Nerve Neurostimulator Procedures
- Neurostimulation
- New Category III Codes: Sacral Neurostimulator Procedures
- New Category III CPT Codes: Remote Multi-day Complex Uroflow
- 2 New Category III Codes – 0811T and 0812T
- Code Usage and Discussion
- New Category III CPT Code: Penile Shock Wave Therapy
- New Category III CPT Code
- Codes Usage and Discussion
- CPT Update Summary
- Neurostimulator Procedures Summary
- Evaluation and Management Editorial Updates for 2024
- E/M Editorial Updates: 2024
- New Patient: If using Time for Code Selection
- Established Patient
- Using Time and Prolonged Services
- Split E/M Visits: Hospital
- E/M Editorial Updates: Hospital
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Suggested Attendees:
- Healthcare providers
- Physicians
- Urologists
- Non-Physician Providers in Urology
- Coders
- Billers
- Managers
- Claims adjusters
- All Providers
- Coders – Beginners, Intermediate and Professionals
- Nurses
- Providers
- Administrators
- APPs
- Residents
- Reimbursement Staff
- Medical Officers
- Clinic Managers
- Insurance Company Claims Reviewers
- Insurance Payers
- Payment Policymaker
Presenter Biography:
Ms. Edna R. Maldonado is a Certified Professional Coder (CPC), Board of Medical Specialty Coding & Compliance (ACS-Urology) and AHIMA ICD-10-CM Trainer. Edna R. Maldonado, CPC, is a bilingual health care management professional that has specialized in urology coding, billing, and training for over 30 years. Her training skills are unmatched, and she has used them to train several coders new to urology to staff AUA’s Coding Hotline. She has also trained and prepared coders for the CPC coding examination. Her leadership extends beyond training, she has also assisted new coders with goal setting, and she has mentored several coders who have moved on to higher positions in urology coding.
Ms. Maldonado’s ambition and drive has elevated her to an expert level in the field of urology coding. She holds herself to the highest standards of professionalism and confidence. She is dedicated to representing her organization and herself in a stellar light by always providing superior results. She is currently the Chair for the Practice Administration Work Group (PAWG) for the AUA, serving as Co-Course Director for the two-day annual Coding Seminar held by the AUA. Ms. Maldonado is an AAPC Officer for her Local Chapter, Frederick, MD.
Ms. Maldonado’s career in urology began in 1990 at Florida Urology Partners (formerly known as Town & Country Urology) where she was hired to manage a busy urology practice by the original owner, Servando Sanchez, M.D. During her time there, Ms. Maldonado was an effective leader with creative skills in interpersonal communications, organizational techniques and problem solving that she used to motivate and to cultivate a diverse staff of eleven. Her time there prepared her for a great opportunity to relocate and join a premier urologic association, providing invaluable support to the urologic community-the American Urological Association (AUA).
Since joining the AUA in 2010, Ms. Maldonado has become a respected and renowned expert in the field of urology coding. She has developed a multitude of urology coding training materials and training techniques for teaching urology coding. As a urology coding trainer, Ms. Maldonado has developed, designed, and recorded content for urology coding CDs, webinars, and virtual training. As an instructor, Ms. Maldonado has been a lead faculty member for urology coding courses including 30 two-day coding seminars, 27 customized coding seminars and over6 conference coding courses.
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