Aug 1, 1998 · The procedures should be coded with the following considerations in mind: According to the most recent edits to the Correct Coding Initiative, the software program Medicare carriers use to determine correct coding policy, the Burch anterior urethropexy (51840) is included in the paravaginal urethropexy (57284). Therefore, you will use 57284 for ...

Jun 10, 2012 · Question: My urologist is doing a robot assisted laparoscopic radical prostatectomy for prostate cancer and a robot assisted lap anterior urethropexy (a lap MMK). When we bill the MMK and retropubic fat excision (which the doctor says takes 15-20 minutes on its own), the MMK and fat excision are being denied.

Mar 28, 2006 · If the op report states that the sole surgical approach was abdominal and the physician performed either a Marshall-Marchetti-Krantz (MMK) or Burch procedure, you can immediately narrow your search to two codes: 51840 (Anterior vesicourethropexy, or urethropexy [e.g., Marshall-Marchetti-Krantz, Burch]; simple) and 51841 (...

May 29, 2013 · If the operative report states that the sole surgical approach was abdominal and the physician performed either a Marshall-Marchetti-Krantz (MMK) or Burch procedure, you can immediately narrow your search to two codes: 51840 (Anterior vesicourethropexy, or urethropexy [e.g., Marshall-Marchetti-Krantz, Burch]; simple) and 51841 (… complicated ...

Aug 13, 2012 · For the placement of the small intestinal submucosal (SIS) sling the urologist actually performed a Marshall-Marchetti-Krantz (MMK) type of urethropexy procedure. During a classic MMK, the surgeon places sutures into the vaginal wall at the level of the urethra or bladder neck and anchors them to the pubic bone.

Sep 4, 2009 · Can anyone help me with a code? A TLH was performed and then followed by a laparoscopic Burch urethropexy? Its the Burch that Im having trouble with. There are open Burch codes, or Burch with a TAH but not with a TLH. Any help would be appreciated. Thanks.

Summary. The provider performs an anterior vesicourethropexy or urethropexy (elevation and fixation of the bladder neck and urethra) that requires additional time due to extensive dissecction of adhesions, excessive bleeding, or other complicating factors; the provider performs the procedure to restore the urethrovesical angle and treat urinary incontinence.

The provider performs a simple anterior vesicourethropexy or urethropexy (elevation and fixation of the bladder neck and urethra) to restore the urethrovesical angle and treat urinary incontinence. For clinical responsibility, terminology, tips and additional info start codify free trial.

If you were to report 58150 and 51840 (Anterior vesicourethropexy, or urethropexy [eg, Marshall-Marchetti-Krantz, Burch]; simple), most payers would think you’ve unbundled the parts of the combination code. Answer 4: Many payers will deny the vaginal vault suspension for lack of medical necessity. The American Congress of Obstetricians and ...

Aug 1, 1999 · Lets say you are coding a laparoscopic Burch, using 56399 as you should. It is denied. To appeal, you contact the provider relations person at the insurance company. Your carrier informs you that you should have used 51840 (anterior vesicourethropexy or urethropexy [e.g., Marshall-Marchetti-Krantz, Burch]; simple). And, even though you inform ...