2025 AUGS Coding Webinar-2025 AUGS Coding Webinar Written Responses

2025 AUGS Coding Webinar Written Responses

Pdf Summary

The 2025 AUGS Coding Webinar addressed several queries regarding coding practices for urogynecological procedures. Key topics included the bundling of specific codes like 57240 and 56810, which are not allowed together despite the different anatomical areas they represent. It was suggested that 57260 could be considered as an alternative if applicable. For Lefort colpocleisis, 57106 cannot be coded with 57120 because the latter is included in the former. However, using a 59 modifier might justify their usage if another diagnosis is present.<br /><br />Questions on procedural packs highlighted changes in the non-facility PE RVU for 52000, noting an 11% decrease in 2025 due to the reduced price of sterility packs. Transfer of care was clarified to involve postoperative care at a different location.<br /><br />Regarding the use of modifier G2211, it is applicable to Medicare and some commercial payers when managing long-term problems but excludes certain procedures unless a 25 modifier is employed for preventive services. Telemedicine billing under Medicare is allowed using specific E/M codes along with modifier 95 for audio/visual components.<br /><br />For pessary care, the 25 modifier is necessary when billing for insertion, and E/M codes can be used for maintenance. Pre-operative visits must align with the global fee schedule, with coding appropriate E/M codes when visits occur before the pre-operative day.<br /><br />Additionally, the webinar touched on supervisory requirements for Urodynamic Studies (UDS) and appropriate modifiers when the provider is not physically present. For hysteropexy, no specific code exists; thus, a colpopexy code is recommended. The session concluded by addressing variations in carrier policies and the need to adapt coding practices accordingly.

Keywords

urogynecological procedures

coding practices

modifier 59

telemedicine billing

Medicare

E/M codes

hysteropexy

urodynamic studies

pessary care

carrier policies