UCR 211: 2025 cystoscopy code changes and should coders review images attached before submitting charges, or is provider documentation sufficient? Artwork

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Urology Coding and Reimbursement Podcast

UCR 211: 2025 cystoscopy code changes and should coders review images attached before submitting charges, or is provider documentation sufficient?

September 13, 2024 • Episode 211

September 13, 2024

Mark, Ray, and Scott discuss questions from the PRS Community.

Hi, In your Urology Times article on July 30th, there is mention of a proposed change to the practice expense component of cystoscopy due to updates in the supply valuation by CPT RVU Update committee. It talks about "packs SA045, SA058 and SA042". What are these packs and can you explain further how this will impact the in-office RVU for CPT 52000?
thanks
We are looking for some guidance regarding images and the accessibility. When coding procedures such as 50431 (images included in code) or 51600 or 51610 (images billed separately). Does the coder physically need to see the images before submitting charges? Or can charges be submitted if provider clearly documents images available? We know the images are readily available and are attempting to prevent additional work uploading to the chart for coder review. Should we consider having a written policy in place? Appreciate any advice or suggestions y'all may have.

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