2025 AUGS Coding Webinar-Attendee Questions for Coding Webinar

Attendee Questions for Coding Webinar

Pdf Summary

The document outlines questions from attendees of a coding webinar, with answers provided by coding committee members Emily, Jacky, Rachel, and Jameca.<br /><br />1. <strong>Urodynamic Studies Interpretation</strong>: Emily clarifies that there is no new rule requiring physicians to be physically present in the office during urodynamic studies (UDS) for report signing. Instead, virtual supervision is acceptable as long as physicians are immediately available via audio/video communication.<br /><br />2. <strong>Medicare Coverage for Telehealth</strong>: While there are discussions about Medicare discontinuing telehealth visit coverage, Emily notes that virtual supervision remains possible, suggesting that telehealth can still be an option if such coverage extends or for non-Medicare patients.<br /><br />3. <strong>Pessary Fitting Billing</strong>: Jacky advises that even if the pessary fitting does not result in the patient leaving with a pessary due to discomfort or expulsion, it is appropriate to bill for the fitting procedure (code 57160). Billing practices should focus on either the evaluation/management (E/M) or the fitting procedure itself, but not the pessary unless the device is provided.<br /><br />4. <strong>Remote Therapeutic Monitoring (RTM)</strong>: Rachel explains that RTM services use technology to monitor non-physiological data, like therapy adherence and pain levels. While specific codes exist for respiratory, musculoskeletal, and cognitive behavioral therapy, RTM's principles can apply to pelvic floor therapy in urogynecology by offering patients digital platforms for exercise and adherence feedback, enhancing training effectiveness.<br /><br />5. <strong>Use of Code 64581</strong>: Jameca addresses confusion around code 64581, stating it is still used for stage 1 placement requiring an incision (traditional “cut down”). For placement of PNE leads, code 65461 is used, per AUGS guidance, with the 2024 fact sheet confirming this application.<br /><br />Overall, the discussions highlight best practices and clarifications on coding interpretations relevant to medical procedures and telehealth provisions.

Keywords

coding webinar

urodynamic studies

virtual supervision

telehealth coverage

pessary fitting

remote therapeutic monitoring

RTM services

pelvic floor therapy

code 64581

medical coding